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<br />APPLICATION FOR PEIDl'I.T <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7rFj. /aJ f <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />"0i',/;.A <br />.?9'CJ:23 <br /> <br />'. <br /> <br />OWNER <br /> <br />I <br /> <br />BLOCK I <br /> <br />LOT SIZE toD X ab AREA SQ. FT . <br />-..: :z. ftT.~ pa ~ ~ SO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. i~ <br /> <br />~Addition ~Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />_i~ of Units <br /> <br />,._NtH <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim.. poo 1 <br /> <br />Other <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 FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service' <br /> <br />Florida Power Corp. <br /> <br />_H.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 />. #- . <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />/ <br /> <br />Other <br /> <br />, <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />&;vJJItJ....- A / l,.C.M Company <br />~ State Cert. or Rcgist. il <br />~1 ~ .' City License Registration il <br />****************************************** <br /> <br />BUTT.DER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />f,T.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Comi'any <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration iJ <br /> <br />PTHF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />~-Jl{~~***'*' <br /> <br />PERtnT OFFICER. <br />