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<br />APPLICATION FOR PEID1:tT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANT <br /> <br />C-~L I S /f";V1: ";CC-N,SW-,UCT/D;(.[ <br />ADDRESS ~7 70/--, 01 AiJe-;,'~ :b~f PHONE 7~'2 -q 4l{' L <br />QJa E! M Ot>A ~vf-~X <br />JOB LOCATION S ?l 'f 7 hA--/ / <br /> <br />" <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) Jl~.174 J g BLOCK q <br />PARCEL I.D.j~ J) -If;( ~'"" /J 1- OC i U--c-C;Q qcC.. CJ b [). <br /> <br />LOT SIZEZ5-X 1/ D AREA SQ. FT 'Gq>;2 sLJ <br />SUBDIVISION cf?-I'-f;l.2 - PG 119,~ <br /> <br />WORK PROPOSED:____New Construction ~Addition ~Alteration ____Repair ____Install <br /> <br /> _Sign/Temp. _Sign _Hove _Demolish <br />PROPOSED USE: ~Single Family ~M/F -j~ of Units ,._M/H <br /> 2commercial _Indust. _Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: d-8 x:!l.h. J(J$'D lI'i,f- Height <br /> Square Feet, /0-.. . <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ~,-I: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMTTS REOUESTED <br /> <br />y..... BUILDING <br />-LELECTRICAL <br />'i-MECHANICAL <br />~PLUMBING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />AMP Service' <br /> <br />Florida power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. EX 15 '/lIVG- <br /> <br />********************************~********* <br /> <br /> <br />Signature <br /> <br />CONTRACTOR SECTTO(.~ L S. . " '/c. /'''1 c~W' r"}..J,-1 <br />. Company ~_ r ;' It:=' V l ~. C ,,-.'\ 1.. ( <br />State Cert. or Regist. iF CB-u.J27- i ~ ~ <br />__.----.,.. . City License Regi~tration iF --I Bl <br />*******************************~********** <br /> <br />ELECTRTCTAN ~ ':\:)..\;'C=U7Lt) Company L..-\.-\.''-'-~ E..'-.;?c-t. S~aJ <br />~ ~ ~ State Cert. or Regis",,, (jOC> '2.l(.,y <br />Signatur ~c " \:: . City License Registration i/ to <br />*******************************~********* <br /> <br />Signature <br /> <br />Company . clltr's 6A:1f! ~J. tl'0br'tUG <br /> <br />cLr.- ~;8 j1~ . State Cert, or Regis,", " -I.:: "0 oS )L? <br />:; . /). City License Registration iF ,("7 <br />-. . . **.. ..... .................... **. H,'" *** * *, <br /> <br />. PUJMRER <br /> <br />MECHANICAl. <br />Signature ~~ Lf'-<.... <br />/ <br /> <br />Company ~~H~1..s /1tt>#Ar-I t.. G,-,s 1L #ft IIVC . <br />State Cert. or Regist. iF CAC.o~J-; ~J <br />City License Registration U 7~ <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />" , ';-<' <br /> <br />.;"t"r~~..':.~'.~' <br />