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<br />. --"--- -----,,~~
<br />
<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPIIYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />APPLICANT
<br />
<br />C L/Jl/ D f..
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<br />
<br />}/R YCFfBPY-
<br />hI' />?OClI9DR.
<br />
<br />PHONE
<br />
<br />7~r8
<br />
<br />~d? !It}
<br />
<br />ADDRESS
<br />
<br />OWNER
<br />
<br />JOB LOCATION
<br />LEGAL DESCRIPTION: LOT(S) J't. d.. Y..., SSBLOCK
<br />,/
<br />
<br />LOT SIZE_~ AREA SQ. FT.
<br />
<br />SUBDIVISION
<br />
<br />.5;JL"rEA
<br />
<br />d/iK'S
<br />
<br />PARCEL I,D,#
<br />
<br />WORK PROPOSED:+New Construction _Addition _Alter:ltion _Repair _Install
<br />
<br />_Sign/Temp.
<br />
<br />____Sign
<br />
<br />_Nove
<br />
<br />____Demolish
<br />
<br />PROPOSED USE: ____Single Family
<br />
<br />_M/F
<br />
<br />____i~ 0 f Un its
<br />-Lswim. Pool
<br />
<br />,._I1/H
<br />
<br />_Commercial
<br />
<br />____Indust.
<br />
<br />Other
<br />
<br />_Restaurant & Health Department Approval
<br />
<br />BUILDING SIZE:
<br />
<br />x
<br />
<br />Square Fec t,
<br />
<br />Height
<br />
<br />RESIDENTIAL:
<br />COMNERCIAL :
<br />
<br />ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS.**
<br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS, **
<br />**COPY OF CONTRACT REQUIRED.
<br />
<br />PERMITS REQUESTED
<br />
<br />--.!-BUILDING
<br />-LELECTRICAL
<br />
<br />$
<br />
<br />J.d.ooo OD
<br />,
<br />
<br />Valuation of Total Construction
<br />
<br />AMP Service
<br />
<br />X Florida Power Corp.
<br />,
<br />
<br />_W.R.E.C.
<br />
<br />____MECHANICAL
<br />-A-PLUMBING
<br />TYPE OF CONSTRUCTION: _Block
<br />
<br />$
<br />
<br />Valuation of Mechanical Installation
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />_Frame _Steel
<br />
<br />Other
<br />
<br />FINISHED FLOOR ELEVATIONS: FT,
<br />
<br />******************************************
<br />
<br />CONTRACTOR SECTION I
<br />BUILDER l)J'1fUvA -rOOKE- Company qaf..s plJ f) 2-
<br />/}.J -#' 0:;---/ State Cert, or RCf,ist. II
<br />Signature lA1#u.f/l 4~/ City License EC[',lstr:lfinn it
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<br />
<br />Company
<br />State Cert. or Re~ist. n
<br />City License Re~istration
<br />******************************************
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<br />CJ&'.1~6 -re:'
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<br />PLUMBER
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<br />Company j) R -r 3 Pc, t7 l-
<br />II ~ f -; State Cert. or R('r,is t, if
<br />'--'0.{/1j//7~ A~ City License ]{e[:istl':ltion it
<br />****************** *** ** ;d, ** **" ,', ,', 1,,, ',;"" ,'; '!;!;,~"
<br />
<br />[0.
<br />
<br />Signature
<br />
<br />j~
<br />
<br />MECHANICAL
<br />
<br />Company
<br />State Cert, or Rc~ist, 0
<br />City License RCGistration it
<br />******************************************
<br />
<br />Signature
<br />
<br />OTHER
<br />
<br />~L
<br />
<br />Company f3&/>'}}/)/(;-yJl'/V, #t.-?<fl?.JNt/P1
<br />State Cert. or J~eGis L. it/()((ftf~-;-3t;2 S
<br />City License RCGistrncion it
<br />
<br />Signature
<br />
<br />*
<br />
<br />
<br />PE!U'IIT OFFICER.
<br />
<br />APPLICATION APPROVED BY
<br />
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