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<br />APPLICATIO~ FOR PERHIT <br />CITY OF ZEmYRHILLS <br />BUJILDI~G DEPARlmJ'NT <br /> <br />OWNER · S NAKE <br /> <br />FV'Uv1 1< <br /> <br />A V €-lI\O C, <br />~ I v' pOI/li- vd, <br /> <br />PRONE <br /> <br />OWNER · S <br /> <br />ADDRESS ~-O ~ J <br />5~C/ <br /> <br />.2- ~~ 1 L s <br /> <br />PI.-- <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPl'ION: LO'I'(S) <br /> <br />BLOCK <br /> <br />SDBDIVISIO~ <br /> <br />PARCEL 1.. D. f <br /> <br />WORK PROPOSED:_Jifew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_D~lish <br /> <br />PROPOSED USE: <br /> <br />Single F3IIily <br /> <br />_"IF <br /> <br />_, of Units <br /> <br />_H/H <br /> <br />_eo..erci.al <br /> <br />_Indust. <br /> <br />_S,"--. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departwent Approval <br /> <br />Square Feet. <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PI.AIIS & (2) SEIS OF BUILDING PL.MilS & (I) SET ENERGY FORMS. u <br />ATTACH (3) SETS OF BlITLDDilG PI.AIIS & (1) SET ENERGY FOIDtS.u <br />**COFY OF CO~Cl" REQUJJI.1Ul:D. <br /> <br />PEmtITS REQUESTED <br /> <br />-i-ELECTRICAL <br /> <br />$ I ') C::--f)J 9 i1 . <br />~ Valuation of Total Construction <br />~ () 0 3 ef AKP Service IX. Florida Power COrp. <br />, <br /> <br />_BUILDING <br /> <br />W.R.E.C. <br /> <br />_HECHMITCAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIO~: _Block. <br /> <br />_Fr3lle _Steel <br /> <br />Other <br /> <br />FIJnSHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PROJECl" IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COmRACIOR SECl"ION <br /> <br />BUILDER <br /> <br />Signature <br /> <br />CDI!IPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />ELECTRICL\/I J W!lPANY D.... ~., T · ;z.yv,J...J <br />. State Cert. or Regist. , <br />Si"""ture O,""~ ~ Ci<y License Registration # {, I'J <br />************************************ <br /> <br />PLDKBER CDI!IPANY <br />State Cert:. or Regist:. #F <br />Signature ~~ty L1c~~c RegisL~atiou I <br />****************************************** <br /> <br />MEC'BAIflCAL CDI!IPMfi <br />State Cert. or Regist. # <br />Signature City License Registration I <br />****************************************** <br /> <br />01'1lER. CDI!IPOY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />************.***************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />