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<br />APPLICATION FOR PER!'l'IT <br />CITY OF ZEPIlYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />APPLICANT f~ {(/h/A;L?lV~ ~__~_/JJ . <br />ADDRESS 9'6' . _ J~_. -p... &ve -:2 JI"'~1I0NE :/l(> '2- - )~ y 'S - <br />OWNER ~ A-U~ A.,.-).- --ut~ <br />JOB LOCATION <" ~/J/1T1,,"- A~ /a,j...c~- <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ~Addition -____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. _Sign _Hove ____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____~~ of Units <br /> <br />, .____1'1 I H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_swim. Pool dy~~ .;x. <br /> <br />Approval . ~ <br /> <br />_Restaurant & Health Department <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.'.H: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />_ELECTRICAL <br />~CHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />~'fJ[) I 0 l'>_Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />... <br />. . , <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR 0ECTION <br />Company <br />State Cert. or Regist. n <br />City License Registration 0 <br />****************************************** <br /> <br />DUTLDER <br /> <br />Signature <br /> <br />Si!Znature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />** **** * * ************.** **'1, ** i*1, ,', ,:i 1, ':, .:: 1: 1: 1: 1: 1:,~ 1: <br /> <br />PLUMRER <br /> <br />, <br />MECHANICAI~ Compan .- <br />. ' State Cert. r Regist, 0 <br />Signaturex ~ <I .;,., . City License Registration 11 <br />.. .. .. ::f.'l.::!........******.......,..,******'** <br /> <br /> <br /> <br />APPLICATION APPROVED BY' <br /> <br /> <br />QTHER <br /> <br />il <br /> <br />Signature <br /> <br />../' <br /> <br />PERtlIT OFFICER. <br />