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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKE 01/ V e, (::.v u ej e V' <br />OWNER'S ADDRESS 387'1/ c.R. 5Lf E. <br />JOB ADDRESS 5a.n?e- 5 Ie ep'l /1'0 (low .JL <br />LEGAL DESCRIPTION: LOT(S) '7'1 BLOCK <br />PARCEL 1.0.' tJ:;, - ;;2c:"- ;2/- tJtJfO - OC)OOO-1J1'J3 0 <br /> <br />PHONE 7~r:s~ 33'-/1 <br /> <br />Lof 70 <br />SUBDIVISION Slee,PY Hollow 7I <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction /Addition _Alteration _Repair _Install <br /> _Sign _Hove _DeIIOlish <br />PROPOSED USE: ~ingle Faaily _H/F _' of Units _H/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />, II --:-..L / n /1 V:' <br />DESCRIPTION OF WORK: /07 a.", 1'C()om - In 'j I <br /> <br />n' f' - <br />BUILDING SIZE:' -tp X 3D. dl;;l~ Square Feet. <br /> <br />~ I Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKlTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ .t( tJ5?J. ()O <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlfICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />_PLUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />a.lUVUln~ Other <br /> <br />TYPE OF CONSTRUC'I'ION: _Block _Fraae _Steel <br /> <br />FlIUSHED FLOOR ELEVATIONS: <br /> <br />Yr. <br /> <br />IS PROJEC'I' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAC'I'OR SECTION <br /> <br />BIITlllER COMPANY /3ahr ~ fl/t<m,'nt<,.,...,. <>II/an/ware .rne. <br />'1J4~'.AAlr",JJ State Cert. or Regist. . <br />Signature 7tfIMl/!rU1.f!t, City License Registration' <br />***** ************************************ <br /> <br />ELECTRICIAN COMPANY <br />State Cert. or Regist. f <br />SiRnAture City License Registration # <br />****************************************** <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration f <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. f <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br />