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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPIIYRHILLS <br />DUILDING DEPARnlENT <br /> <br />ADDRESS <br /> <br />~4c: &1/Y/ifJ <br />?CJ? JO/t~ ~ <br />OHNER ;1/r, P( AI fl, Et-tsl-afjo/O <br />JOB LOCATION .3 'T rl'S- ?/~C D~ .~. <br /> <br />I :.~ <br /> <br />APPLICANT <br /> <br />, Z7'i~ <br /> <br />/'Y"" .. <br />ff;;>~.J <br />," <br /> <br />C?7C ;;c / <br />/ :--:'//"'/' <br />/ <br />tyo ;'.,9 ~1 <br />, <br /> <br />PHONE <br /> <br />.7/22': -..? 2...f/() <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />3d( <br /> <br />BLOCK <br /> <br />( <br />LOT SIZE ?CX/2Q AREA SQ.FT. ?OOO <br />SUBDIVISION '?/;" c d/11.. //e /Jitt6 .s lIh, <br /> <br />PARCEL 1. D. t~ <br /> <br />WORK PROPOSED:~construction -:--Addition _Alteration _Rep<1ir _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~e Family <br /> <br />_Sign <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />~M/F <br /> <br />_t~ of Units <br /> <br />,,_~l/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />If ( <br />BUILDING SIZE:,2 7. r X s~ D, 133~ Square Fee t, <br /> <br />g/ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <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 FOlU1S.1;'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />:rERMTTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ; ~)/ g-,.p- J--: JD <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 />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />.cONTRACTOR SF.CTIO~ ._/ /l ,/ / . <br />. Company If::Yl-e p(.ulc-fe,1J. /A C. <br />State Cert. or Rc~ist, 0 <br />City License ECgi~tratinn ii ,3..l2- <br />****************************************** <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />:1 :=~ Compony . ~/e. E k-r?, 'C <br />-~. . - ? .~ 'h ,~...........m~:;~;;;~::;;,;m~~~~;~ ~ ' "0 I 2- <br /> <br />1 .' <br />PLUMBER lJ r C_ ,fJ(...,"-<..! ivV:; Company d- Cc... ~/{;4-n6r.~/{4f <br />/J. /7 ( State Cert. or Eegist. !.f <br />Signoture &<-y (~ City License Registration It ~ 7 <br />****************************************** <br /> <br />MF.CllA~1CIl1, 1./clJ;. .t Hav.l.. Company f" e04& /%~"} y' ~/c <br />. State Cert. or Regist. 0 / <br />Signature Cro"./o CCIt"(.:~&- City License Ecp,istrqtion if /u........-G, <br />****~************************************* <br /> <br /> <br />* <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration U <br />" <br />j <br /> <br />PTHER <br /> <br />Signature <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />...-,- <br />