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<br />APPLICATIOR FOR PHRHIT <br />GI'IY OF ZEPIIYRHILLS <br />BlJIILDDiG DEPARIMI!Xr <br /> <br />OWNER r S IWtE <br /> <br />l~ <br /> <br />8-ro h jp r <br />C}'fJ. Q~j 7 f' vAyr J.fI / k <br />, ~ f . <br />sl ?Cj) It v(' )71'/ If: I~/ <br />I / <br />BLOCK I <br /> <br />mon <br />;-'-'/ <br /> <br />fl/s- 78'f- rXcJS <br /> <br />OWNER r S ADDRESS <br /> <br />0/1 <br />(fc(~? <br /> <br />\:.j7(\.r ~1 cJ <br /> <br />91i <br />LEGAL DESCRlPl'ION: L.OT(S) J S <br /> <br />JOB ADDRESS <br /> <br />// ., IJ i <br />~1 \ 11. f 0 <br /> <br />SUJBDIVISIOlNl-r:; [:,/1 n <br /> <br /><:~ bd,' V. <br /> <br />PARCEL Io D. f <br /> <br />(:' ,t! - ("9 (" - ,~ I -IJ / t, tJ - (') <7 I t1/f' - 0 0 \ '1 D <br /> <br />WRK PROPOSED:2-lNlev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />6&dP"-7C: &C<.. 'JeI, '/) 51 <br />Single Faaily r- _KIF <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swi.-. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Deparblent Approval <br /> <br />BUILDING SIZE: <br /> <br />1/) <br />. <br /> <br />x /~. <br /> <br />I CJ r) <br />/ rx <br /> <br />Square Feet. <br /> <br />)7/ <br />U <br /> <br />Height <br /> <br />RESIDENTIAL : <br />cotmERCIAL : <br /> <br />AtTACH (2) PLOI' PI.AliS &: (2) SEI'S OF BUILDING PLAlNlS &: (1) SET EliERGY FORMS. u <br />ATTACH (3) SEI'S OF BUll.DIlIG PLMS &: (1) SET ENERGY FORKS. ** <br />**COPT OF CONTRACT RIlX!UIRED. <br /> <br />PERIIIITS REQUESTED <br /> <br />. L'BUILDIBG <br /> <br />$ <br /> <br />/g~(P ~ <br /> <br />Valuation of Tot:al Construction <br /> <br />N~ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />,,'y~MECIlAlilCAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />I~PLUMBIBG <br />TYPE OF CONSTRUCTION: _Block ~Fraae _Steel <br /> <br />GAS <br /> <br />ROOFIl!iG <br /> <br />SPEClALTY <br /> <br />Other <br /> <br />FllfiSBED FLpOR ELEVATIONS: <br /> <br />Fr. <br /> <br />IS PROJECT IN F'LOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />aJI'I'RACTOR SECTION <br /> <br />BUTT.DER mMPANY 1?a t k ! q be '(' C" n.s~ ('uaJ; 0 Y) <br />~~ . . _ I -4//J tJ _ State Cert. or Regist. , If liJ t!) ~ /1/1 g $' <br />Signature?~~ ~ City License Registration' If / <br />****************************************** <br /> <br />ELECTRICIAN' <br /> <br />mMPMY <br />State Cert:. O:f" Regist:. , <br />City License Registration t <br />****************************************** <br /> <br />Simtature <br /> <br />PUltBER <br /> <br />mMPAlNlY <br />State Cert. or Regist:. , <br />City Li~-~rc Registra~ion t <br />****************************************** <br /> <br />Signature <br /> <br />KEalAllICAL <br /> <br />COIIPANY <br />State Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />OT'IIF.R <br /> <br />Signature <br /> <br />mMPAlNlY <br />State Cert. or Regist. , <br />City License Registration , <br />*...............**..********************** <br /> <br />APPLICAnON APPIlOVED BY 'tta1d ~il-'/1Ah'~ <br /> <br />PERKIT OFFICER. <br />