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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRHILLS <br />BlITLDlliG DEPAR'IHmn" <br /> <br />OWER'S NAKE [Ja tJ lei <f .:r ~vi v~ 0o--r;j ~ <br />OWNER'S ADDRESS J97~ '7'J1u?~~_~ Lv <br />JOB ADDRESS 19 ~ m~.)onr/ L~ <br /> <br />AlODiE' <br /> <br />7 tY-:;' . .)0 ~ f <br /> <br />;t~ij'Y ~~ / /~ <br />~r~r /1-;& r% <br /> <br />LEGM. DESCRIPTION: WI'(S) <br /> <br />B.I.OCK: <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. f <br /> <br />WORK PROPOSED:_lfev Construction -..Addition _Alteration -LRepair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: ( Single Faaily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />_KID <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_SwI... Pool <br /> <br />Ot:her <br /> <br />_Rest:aurant &: Hea1t:h Depart:.ent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />AT1'ACII (2) PLOI' PUUiS &: (2) SEIS OF BUllDDfG PLUS &: (1) SEI' ENERGY FORKS. ** <br />ATI'ACB (3) SETS OF BUllDDIG PI.MiS &: (1) SEI' mmRGY' FORKS. ** <br />**COPY OF CON'I'RACf RIlXlm:RED. <br /> <br />PERl!lITS REQUESTED <br /> <br />--K-BUILDING <br /> <br />$ 1,/ /J 7 6~ t. 0- <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Hechanica.l Installation <br /> <br />_PLUMBING GAS ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Pralle _Steel <br /> <br />Ot:her <br /> <br />FUnSHED FLOOR ELEVATIOlNfS: <br /> <br />FI' . <br /> <br />IS PRO.JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COlNf'I'RACIOR SECTION <br /> <br />BUILDER <br /> <br />COKPANY ;:-r~d~ ;9dJt.~<<cl:~ e".. J:uc, <br />~ St:ate Cer1:- or RegiS1:- , e G.~.ao.2 ;;%"f" <br />7~ City License Registration 1= E~.y7 <br />****************************************** <br /> <br />Signat:ure <br /> <br />ELECTRICIAN <br /> <br />CO!IPMY <br />St:ate Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />SiPT1~ture <br /> <br />PUJlttBER <br /> <br />CO!IPANY <br />State Cer1:- or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />KEClIARICAL <br /> <br />COKPANY <br />St:ate Cert. or Regist. , <br />City License Registration I <br />****************************************** <br /> <br />Signature <br /> <br />01'HER. <br /> <br /> <br />Signature <br /> <br />, <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />