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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKB YML fvk;tr1ut- :Yttare.. <br />OWNER'S ADDIlESS 3813:5 fYlcA. r1c.vF ~ re.. <br />JOB ADDRESS ~)O \ H.ariLe..+ ~Ctr-e <br />LEGAL DESCRIPTION: LOT(S) 5i 40 l ~ I ~ LP_ BLOCK <br />PARCEL I.D.# O~ ~lo;)/ Dn/() () 3Cj'OO /70 J.o <br />WORK PROPOSED:_New Construction v{ddition <br /> <br />PHONE C~\3)'7oD ,.g77y <br />1ephjrh,- lis, PL 3J.6'-{O <br />~ph~ r-tlj) J J:::" R- 33-5\.jO <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />----^Iteration <br /> <br />-.Jepair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />_Deaolish <br /> <br />pmPOSED~E: _S~leF_i~ <br />../': <br />_ec-ercial <br /> <br />-'l/F _' of Units ---.J{/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Hea1th Departaent Approval <br />DESCRIPTION OF WORK:-d d.(A'- 1 )\,N-. Of 1 tOo 'xtuCt,e -f-c.et- <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />IlESIDEBTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />COMKERClAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECJ'.RICAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--JlECllARICAL <br /> <br />$ <br /> <br />Va1uation of Mechanical Installation <br /> <br />~UKBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COllSTRUCTIOll: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDfISBED FLOOR ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZONE AREA? <br /> <br />BIJI:T .nER <br /> <br /> <br />YES NO <br />/6 <br />5'11-1-(11.5 <br /> <br />.......................................... <br /> <br /> <br />PLDKBER \\ <br />Signature ~O./V'-A/": J.. U) &"'l <br /> <br />:-1 10 ~ " <br /> <br />lA) ;OQ~ p~ <br />IX>Lrqo I ~" <br />f 7-0 , <br />. II) -~- 11 tfi:5 <br /> <br />IlECHANTCAL COMPANY 'SoUrl-tE:tN ~-r <br />- L.d "" -d J /J State Cert. or Regist. # <br />Si&oaturer:;X/~ " ~Yy.J4A(JL CUy License Registration f ~"l <br />.......................................... <br /> <br />OTRRR (" COMPANY <br />~ State Cert. or Regist. . <br />Signature City License Registration # <br />~~/ .......................................... <br /> <br />~~ <br /> <br />APPLICAITON APPROVED BY <br /> <br />PBRKIT OFFICER'.~';, <br />