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<br />,APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE t^G. ~ ,\ C ~w ~ rf) <br />OWNER' S ADDRESS SO li L /7 I H- ) r 2-/ #-t /I j <br />JOB ADDRESS ~ <br />LEGAL DESCRIPTION: LOT(S).)- BLOCK U3 <br />PARCEL 1.0.'11..... U -2..1-00/0 - UJ()O -00 50 <br /> <br />PHONE <br />3 ) J'i 0 <br /> <br />7~o --,qOU <br /> <br />SUBDIVISION C ~ CI f-Zldi J) S <br /> <br />(OBTAIN FROM PROPERTY TAX. NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -----Alteration VRepair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: ~ingle Faaily _KIF _, of Units _K/H <br /> _eo..ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval J <br />DESCRIPTION OF WORK: k~ f- ,.{ 2- ~ 1'+\lA.~ ~a\).c:: I If"' y1 Jh I "'-1 k2.. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$-1JJ~OO .- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHAlfICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />***..*.............*..*.*..*.......*...... <br /> <br />BlrrUlER <br /> <br />CONTRACTOR SECTION 0 <br /> <br />GOKPANY ~.er~-~r-v <br />State Cert. or Regist. , Sc:::L t)SL6lJY <br />City License Registration' <br />.............................*............ <br /> <br />Signature --- c- bat / ~'Tj~ <br /> <br />RI.RCTRICIAN COMPANY <br />State Cert. or Regist. , <br />SignAture City License Registration , <br />.*....................*....*.............. <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />*...*....*.......*.............*.*.....*.. <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />............................*............. <br /> <br />OTRF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration t <br />..*...*....................*...*.*...***.. <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />