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<br />APPLICATION FOR PEru-lIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTHENT <br /> <br />PHONE <br /> <br />-t J't. <br /> <br />o/'ZCJ 9 <br /> <br />~ . <br /> <br />'. <br /> <br />~ <br /> <br />JOB LOCATION aft) ~ <br /> <br />LOT SIZEZ~ X /5Y AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />- <br /> <br />BLOCK 6 <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. tt <br /> <br />WORK PROPOSED:____New construction ~ddition ----Alteration ____Repair ____Install <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 />_tt of Units <br /> <br />,._H/H <br /> <br />_commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <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 FORl'lS.~d' <br />**COPY OF CONTRACT REQUIRED. <br /> <br />Ef~MITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total construction <br /> <br />_ELECTRICAL <br /> <br />AHP 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 />_PLUM.BING <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 />17 ( };ONTRACTOR ~ECTION. <br />BJII),UF.R I~-I--]) S-uJ -'1/&. Company <br />~ \> ~ I. State Cert. 01' Regis t. !I <br />Signature ~~ ~ ~. L ...I.~ .(p City License Regi~U-<ltinn ;/ <br />********* *************<{,*<{,*<{,*** ,'r;: {, ,', .:, ;:" .:, ;,,',.~ <br /> <br />b t.. (2..~ j) <br /> <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration a <br />*********************************;'******** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. !~ <br />City License Registration n <br />****************************************** <br /> <br />, ~UJMRF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registratior, 11 <br />*************************~**************** <br /> <br />t1ECHANICA1. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY -(~-~;Z~~-~~*******.****. PEmlIT OFFICER, <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br />