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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />7fO-;2~-(j <br /> <br />OWNER'S N <br /> <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />/.... 0 re2 r <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction --Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_M/F <br /> <br />_' of Units _M/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br />/J r ~. / / "7 / <br />DESCRIPTION OF WORK: /'..~?(..;:;..$ 7 If' L... 5 kJ -/1::-;' <br /> <br />Lt$') r ;... 7 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />L.ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />yinorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_HECIIAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical 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 />CONTRACTOR SECTION <br /> <br />BUTIllER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />***************************..-*,*********** <br />S,t{ itA It /) <br />RT.RCTRICIAH COMPANY (';{!~.JI /JAL" rUcT/l/tAt. Ce.I;u"fA. <br />, . -,./J,:, J C'::- /). /' State Cert. or Regist. . <br />SilmAture If ~ 6...vt-;:'w'1/Y\.;..~' City License Registration . (;J ? a- <br />t . ****************************************** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />.. <br /> <br />HEGHANlCAL <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />