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<br />APPL'ICAT'ION FOR PERI-lIT <br />CITY OF ZEPIITRHILLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANTa~~ ~ ~~ '7J!~. <br />ADDRESS l/' - - ~ ,- Jf:2.. : , ,,; ,\,.' ',_;J,;z. PHONE <br /> <br />OWNER ~~ ~ ~ <br />JOB LOCATION r- 20 / --~.-' "J...z- ~ sIzf <br /> <br />7r?.:z. -<?~ ~Ci <br /> <br />, <br /> <br />" <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL Ln.il ~!.. · ~/~1>-~ ,~ <br />WORK PROPOSED:____New construction~ Addition ____Alteration ____Repair ---- nstall <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 />____iF of Llni ts <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.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMTTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />V- MECHANICAL <br /> <br />AMP Service' <br /> <br />Florida Power Corp. <br /> <br />_"".R.E.C. <br /> <br />$ <br /> <br />2/~!J1 Db <br /> <br />Valuation of Mechanical Installation <br /> <br />'" <br />. . , <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 SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />*************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company -eA' <br />~ State Cert. or egist. 0 <br />, City License Re,istration 4F 'Jff <br />****************************************** <br /> <br /> <br />ELECTRTCTAN <br /> <br />PLUMBER Company <br />State Cert. or Regist. 0 <br />Signature City License Registration 4! <br />, ***********~********,****~'*~**; -:dddd'**~'.&f"~-:' . M' <br /> <br />.i . . <br />MECHANICA~ ," Company '~ ~t ' .. <br /> <br />Signa turex.J:'4 .J? flM1~ J, . ~~~~\~~~~~e o~e~iS ~;~ ~ i~n i~ i r " . <br /> <br />**~************************************ <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~Z:*********~************************* <br />G1411- - J.AA'\~, ' <br /> <br />PERt-lIT OFFICER. <br /> <br />':~' '."' ....' .,... .-.. .,..""'"....----... <br />: ,tIn'''!' iIII:\) c.:'.'!m'j--'''' <br />; ,~" '~ .!.. . JC(~' 1~.i,' <br />l '~:j~=;~~~m f'': l <br /> <br />'":~~'!y J"~" ~ :. - f <br />-..........;.---.,..,..- "'''--';- .......,..,........,..,.6\......... .......... ", .~'-,._.,."_ ',..~~.'._.'. <br /> <br />I (~' <br />\. J:~ <br />.'" <br />~...~-..MIII.....""'-.;~4 -Ut"~t, .' , <br />.......-...._~..,"" <br /> <br />.:;~t: <br />