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<br />. . <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BlIIIJlIB'G DEPAR'IKEXI' <br /> <br />OWNER'S NAME ~~ ~4- /d ~ mONE <br /> <br />. ' <br /> <br />OWNER'S ADDRESS d't?Z /R -<A-V<.~ ?;(;;;t-_ ,6'~~ ~hI b=.~ 74e~ y--:>}o~ <br />.JOB ADDRESS S 7 CJ 5. <? 6' "~ c:'t<.'-f <br /> <br />\ <br /> <br />U~4( <br />LEGAL DESCRIPTION: LOT(S) B.L.OCK SUBDIVISION(/':::;7 _L-:t~ <br />PARCEL LD.' I;<-/?b -.J./-oo;,<A-&o,;Zt::Jo,oo.;;Zo <br />. <br /> <br />~ <br /> <br />WORK PROPOSED:_~ew Construction _Addition _Alteration ,--Repair _Install <br />~lish <br /> <br />_Sign <br /> <br />_Hove <br /> <br />PROPOSED USE: <br /> <br />Single F3IIily <br /> <br />_KIF <br /> <br />_It of Units <br /> <br />~/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_S~. Pool <br /> <br />Other <br /> <br />_Restaurant &: Health Depan:.ent Approval <br /> <br />BUILDING SIZE: c; r X r2 57 <br /> <br />f5 75- <br /> <br />Square Feet.. <br /> <br />d ," <br />/ . <br />, <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COttKERCIAL : <br /> <br />ATTACH (2) PLOT P.I.AliS &: (2) SETS OF BUILDING PLOS '&: (1) SET ENERGY FORKS. ** <br />ATTACH (3) SETS OF BlHLDDlG P.I.AliS &: (1) SEI' ENERGYFORHS. ** <br />**COPY OF C01'ITRACl" lUlllUJIRED. <br /> <br />PEmnTS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Tot:al Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Va1\!.i.&t:ion of :fechanic:d Installation <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />ROOFlliG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fra.e _Steel <br /> <br />Other <br /> <br />FIlIUSHED FLOOR ELEVATIOlNlS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONJTRACIOR SECTION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />COIIPMilY <br />State Cert. or Regist. 4/f <br />City License Registration #I 69 J') < <br />****************************************** <br /> <br />Si!m3ture <br /> <br />COIIPMiY <br />State Cert:. or Regist:. It <br />City License Registration I <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />COIIPMiY <br />State Cert:. or Regist:. It <br />City License Registration I <br />****************************************** <br /> <br />PLUKBER <br /> <br />MECHANICAL <br /> <br />Signat:ure <br /> <br />COIIPMiY <br />State Cert. or Regist. I <br />City License Registration I <br />****************************************** <br /> <br />OTHER <br /> <br />S ignat:ure <br /> <br />COIfPMiY <br />State Cert:. or Regist.. #F <br />City License Registration I <br />****************************************** <br /> <br />APPLICATION <br /> <br /> <br />.:f'" ,....,<;."\.-:'.'<;,... }" <br /> <br />.,'~"".. ','.p. EliCIQ'T ~.,' ~...." ER. <br />'-1.tJ,i1 !'."'. <br /> <br />'i' <br />