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<br />APPLIQUOlNl F'!:)" PHRKIT <br />C'.iTY OF ZEPIIYRHILLS <br />B\TilDllIIG DEPAR:DIEIHlT <br /> <br />OWNER'S <br /> <br />NAME /feNT a <br /> <br />ADDRESS ~ <br /> <br />PHO &Ba-43CO <br />t.A~ I=l 33w3 <br />i(e/2 O~6 .&.~ qr #lun/l/~n::A) <br />SllfBDIVISIOTlll SiLJ/e-zc o,4f!.5 <br /> <br />BI..OCK <br /> <br />07 <br /> <br /> <br />OWRER'S <br /> <br />JOB ADDRESS <br /> <br />/1 <br /> <br />LEGAL DESCRIPTION: WI'(S) <br /> <br />//-r <br /> <br />PARCEL 1. D . f: <br />k'ORK PROPOSED: y;:: Const.ruct:ivn <br /> <br />_Addit.ioli _Alt.erat.ion <br /> <br />_Repair <br /> <br />_Inst.all <br /> <br />_Sign <br /> <br />_Iifove <br /> <br />__ _ _DeJIOH sh <br /> <br />PROPOSED USE: <br /> <br />~ing1e <br /> <br />Faaily <br /> <br />_H/F <br /> <br />_' of Unit.s <br /> <br />_M/H <br /> <br />_~rcial <br /> <br />_Indust:. <br /> <br />_SWI... Pool <br /> <br />Other <br /> <br />_Rest:aurant: &: Bea1t:h Deparblent: Approva1 <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet:. <br /> <br />Height. <br /> <br />RESIDENTIAL : <br />COHttERCIAL : <br /> <br />A'l'TACH (2) PLOT :PI...i\NS &: (2) SEIS OF BWtl...DHiG PLMilS &: (1) SET ENERGY FORKS,*'*" <br />A1TAC.1I (3) SETS OF BUIIJ)DiG PLMilS &: (1) SET ENERGY FORMS. *'" <br />**copy OF CONTRACT REQm:RED. <br /> <br />~iJ:R"I'i'3 F\.ElJUESTED <br /> <br />_ELECTRICAL <br /> <br />$ .:$46f!C;C; <br /> <br />~ AMP Service <br /> <br />Va1.uat:iOll of Tot:a1 Const:ruct.ion <br /> <br />_BUILDUlG <br /> <br />__~ilorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MEGIIAlUGAL <br /> <br />$ <br /> <br />._Va1uat:im.' of Mechanical "Inst:allation <br /> <br />_PLUMBING <br /> <br />z: <br /> <br />___ROOF:.:~j'G <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Fr:me _St:eel <br /> <br />Other <br /> <br />IS PltJJltCT IN FLOOD ZONE AREA? <br /> <br />y-- <br /> <br />FllfISHED FLOOR ELEVATIOlNlS: /Z.O FI'. <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />CO!ITRACIOR SECTION <br /> <br />mHPANY-reAl\J,S1.1~ (;bNsr <br />St:at:e Cert:. or Regist:. '41 Cl!!f(:~ <br />City License Regist:rat::ion t J & 0 <br />************'!:*'i1'****-A ***************** <br /> <br />Si <br /> <br />ELECTRICIAN <br /> <br />ml'lPMY U::::. <br />l.rJ-k~~~~.'W. ~t;ate <:ert... or R<<:gist:.,., <br />~ ~ C1t:y L1cense Reg1st:rat:1on I <br />************~*****~~***~~**************** <br /> <br /> <br />S ilm3 t:ure ')< <br /> <br />PLDlBER /1 / WlIPMilY 7<.~ ~/6L~/ <br />'<;' 5t:at:e Cert:'. or Regist:~ ~ C,c;.('YJzt::>~ <br />Signat:ure _ . ~ 'l" _.~ . City License Regist:.rat:ion I / y? <br /> <br /> <br />KECHANIC.U <br />l' St:at:e Cert:. or Regist:.' .. <br />Signature -:"~.~ \>J 'tl\~ (}.j~ City License Registration # I <br />~ ***** *~****~***~**************"'**~***** <br /> <br />. <br />101 <br /> <br />OTHER <br /> <br />ccm>>&W <br />St:at:e Cert:. or Regist:. j <br />City License Regist.ration , <br />*********************,,,"'It*****'''******'''****** <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />/%~(f~ <br /> <br />PERKIT OFFICER. <br />