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<br />.. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-1 -<' <br /> <br />OWNER'S ADDRESS <br /> <br />. .--'fA/le ( <br />/1 -r <br />t/ r- PC.?/' 1./' <br /> <br />/:J <br />/>:;0. / c ./ (..l ... _~ <br />- '/ <br />(I ;1' <br />, \ <br />iA' <br />. /<1 {', ./f? <br /> <br />PHONE <br />,~--/l ;:;/ <" J- . <br />.( j I <br />/f-:rt ;:;( II '(? S 5 <br /> <br />; /jf!kC),- J7~' 9' <br />?~ /!r /(f' <br /> <br />OWNER'S NAKE <br /> <br />,ju I; - 1 <br /> <br />JOB ADDRESS <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 ---^lteration <br /> <br />_Sign. <br /> <br />-...JIove <br /> <br />_Deaolish <br /> <br />-Repair _Install <br />-4 ;:;/((1 f' <br /> <br />PROPOSED USE: _S ingle F8Ilily <br />Lec-ercial <br /> <br />-...JI/F _' of Units --..JI/H <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />.J.., <br /> <br />----lestaurant & Health Deparbaent Approval <br />\ -/ / , <br />DESCRIPTION OF WORK: ^ I < t <br /> <br />BUILDING SIZE: {;l <. xC, 5'() It; <(/i~ Square Feet, (;. Height <br /> <br /> <br />RESIDENTIAL: <br />COMMERCIAL: <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (l) SET DERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ Ol; t;:zs'~ Valuatio~ of Total Construction <br /> <br />~LEC'J'IUCAL <br /> <br />AtIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--"ECBAIIlCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />---YLUtlBING GAS ' ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? .x. <br />YES NO <br /> <br />.......................................... <br /> <br />BlrrT J)D. <br /> <br />~~J/ ;[ <br /> <br />CONTRACTOR SECTION <br />/' /) COKPANY D ~ ) <br />I . <br />l /' ') IL-- State Cert. or Regist. . <br />,/ ",,:f.L/ . L/ City License Registration' <br />.......................................... <br /> <br />Signature <br /> <br />RT .R.CTR1:GIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />SitmAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Resist. . <br />r.it-v 1,-I..on..o V..n-l..t-'"~t--I....... . <br /> <br />Sianature <br />