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<br />APPLI.CATI.ON FOR PERI'1"IT <br />CI.TY OF ZEPIIYRHILLS <br />BUILDING DEPARTl'iENT <br /> <br />APPLICANT <br /> <br />G~L~ <br />ADDRESS 3174b C~S <br />I\I\,O- ~ miLs. 3A12.-Tr7C- <br />JOB LOCATION b2.lOf IturJll J\.l61DH TiZo <br />LEGAL DESCRIPTION: LOT(S)J 30 <br />PARCEL I.D.i~ o~- 20 -Z-\':- of2-0 <br /> <br />swve <br /> <br />; Co 1'\5> '['LuC1] ON <br /> <br />. . . . <br /> <br />::M"'Je- <br /> <br />PHONE <br /> <br />76 '2- - q <-f 4 '2 <br /> <br />" <br /> <br />OWNER <br /> <br />SUBDIVISION 5,Llr/6l'L <br /> <br />- OOODo - ('<,oo <br /> <br />BLOCK <br /> <br />LOT SIZE /00 X f2.j:) AREA SQ. FT. <br />o,A.-((.S <br /> <br />WORK PROPOSED:____New Construction ----:-Addition ~Altcration ____Repair b-Install <br /> ____Sign/Temp. _Sign _Hove ____Demolish <br />PROPOSED USE: ~Single Family _M/F _i~ of Units ,._l'l/H <br /> _Commercial _Indust. _Swim. , Pool Other <br /> <br />BUILDING SIZE: /7 X Ie;, R~t oH~1 300 Square Feet, 8' Height <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br /> **COPY OF CONTRACT REQUIRED. <br /> <br />____Restaurant & Health Department Approval <br /> <br />l'F.RMTTS REOUESTED <br /> <br />f.i~_BUILDING <br />Ji/A-ELECTRI CAL <br />1J~MECHANICAL <br />~PLUMBING <br />TYPE OF CONSTRUCTION: <br /> <br />$ <br /> <br />3400, <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_",.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Block <br /> <br />_Frame <br /> <br />_Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br />0,.,) Company 5A-M6 <br />State Cert. or Regist. Q <br />City License Registration <br />****************************************** <br /> <br />cae. 022..1?>9 <br />it 12>1 <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ET.ECTRTCTAN <br /> <br />,PT.UMBER <br /> <br />tV/A- <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />JJ/~ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PTHF.R <br /> <br />rJ(V <br />, I <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration U <br /> <br />Signature <br /> <br />****************************************** <br />APPLICATION APPROVED BY ____-_ r,JJ'1L . -Il~ ~~ PER1'lIT OFFICER. <br />