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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br /> <br />;(7?r~f/./~ <br /> <br />OWNER'S N <br /> <br />OWNER'S ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I. D.' t') d.. - ;;;J.'?; - ;X I - () ~ V O-{) OO{5r) -{)/7fJ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -ftlteration _Repair _Install <br /> <br />_Sign <br /> <br />----"ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />----"IF <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />Resta~anl/ & Health De~rtaent Approval <br />DESCRIPTION OF WORK: 1J(7p/l h /f;r 1;1 , '( b tZ1./1 P C7,AAO <br /> <br />d?lPF( ~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />ZIRC <br />ELECTRICAL <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />s-r On t/ 0 Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IEGllANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF GOBSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />~....................~........ <br /> <br />COMPANY ~ ~ N7pll. _ 'Pf, It- Rn/!;! - f,{J Y <br />State Cert. or Regist.' "t:;:,.- A ~/? )V~~ <br />City License Registration' a I ....-.:.i <br />.......................................... <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />.......................................... <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. f <br />City License Registration . <br />.......................................... <br /> <br />OTR'RR <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />