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<br />APPLICATION FOR PElU'1'IT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARn1ENT <br /> <br />APPLICANT Lv / /// A/f <br />ADDRESS ~?..5 0 / ~ <br />OWNER JA7/Z <br />JOB LOCATION J A '7/..::' <br /> <br />tt//t//I1' <br />/I .." <br />Z/.'sT :A*//5 <br /> <br />/::/ JJrYOPIIoNE :;7%;,1- sS79 <br />/ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.~~ / / = ~~. ~ c:< / <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />00/0 -/0700 - 6/~?O <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />____~love <br /> <br />_Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim.. Pool <br /> <br />,._l'l/H <br /> <br />Sc/? ///~~/Y' / .N60ther <br />o Ihli' /? /,<70/ <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />_~t of Uni ts <br /> <br />_Restaurant & Health Department Approval <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 FORl'lS.** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />..LBUILDING <br /> <br />$ /000 . 00 <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~- <br /> <br />CONTRACTOR SECTION~ t <br />. Company /;I? cJ ~/.>i'< T _ <br />/ <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************** <br /> <br />c> I.,A..-r/V./::/f <br /> <br />nUTLDER <br />Signature ,~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration a <br />****************************************** <br /> <br />f,T.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration it <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />,.-.- <br />,/ <br />* <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />.7 /J <br /> <br />**** . .'J, ":i:i':'*~~'~' <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />, ..~. <br /> <br />..",..' <br /> <br />,'I'" <br />