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<br />APPLICATION! FOR PEmnT <br />CI'IY OF ZEPllYRHILLS <br />BUILDllilG DEPARIt'IE'NT <br /> <br />OWNER'S RAIfE ;[1' /hLI'A-Ar to r I @ z> <br /> <br />OWNER'S AyD~S 51- YJ s- ~.od/~-I <br />---~/YLO;-, ~ 8 A <br />JOB ADDRESS rr~~ " ,/) I V _ <br /> <br />mONE 6):;:) P~?-3~ 17 <br /> <br />!A;1r/J/r' I i:: / - 3 jbos <br />/ / ' <br />~~ /h)/.rL HI 1(<;,) r ( <br /> <br />LEGAl. DESCRIPl'I01!i: UJI'(S) <br /> <br />BJ..OCI{ <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t <br /> <br />WORK PROPOSED :_New Construction _Addition X-Alterill:ion _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_HID <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Other <br /> <br />_Rest:aurant &: Hea1t:h Depart:aent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOI' PI.ANS &: (2) SEIS OF BUILDING PIJ\I!iS &: (1) SET ENERGY FORKS. ** <br />ATI'ACII (3) SIlTS OF BUllDlRG PI.ANS &: (1) SET ENERGY 'FORKS. ** <br />**COPY OF CONTRACT ~m:RIlD. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:a1 ConstrhcUon <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ ;;(,;~, l) C () <br /> <br />Valuation of Mechanical Inst:allaUon <br /> <br />_PLUKBING GAS <br /> <br />ROOFlliG <br />. <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_FraIIe _Steel <br /> <br />Other <br /> <br />FIBISHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COlD'RACIOR SECTION <br /> <br />BUILDER <br /> <br />COKPANY <br />State Cert. or Regist~ If <br />City License Registration If <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />COKPMlY <br />State Cert. or Regist. If <br />City License Registration I <br />****************************************** <br /> <br />Sifmature <br /> <br />PLmlBER <br /> <br />COKPANY <br />St:ate CerL or RegisL If <br />City Licea~e Registration I <br />****************************************** <br /> <br />Signature <br /> <br />Signa1:ure <br /> <br /> <br />COKPAn /lr1oAs UAJ/( cd-- if /1, II./C <br />St:ate CerL or RegisL 1= Pc CP"f-b '76 '7 <br />City License Registration I G;? 'f <br />****************************************** <br /> <br />KECHAlUCAL <br /> <br />OTHER <br /> <br />COKPMlY <br />St:ate Cert. or Regist. If <br />City License Registration I <br />****************************************** <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />An. <br />-")/' "- <br />il a>~J _ ;>:j k'/\A').-ir <br /> <br />PERKIT OFFICER. <br />