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<br />AFl-l.i c.'*' "rTO'j F'OR("ERHT'T <br />GITY OlEl' ZEPIJYRHILLS <br />BUfllDlUili; Di1:PARTKE',~:""" <br /> <br />-;. \. \. . <br />OWER'S NAM.E \ ~,.'-<~ ~.-\- <br /> <br />PHO~E <br /> <br />OWNER · S ADDRESS (" S' l1.1 <br /> <br />r. \\ ,') \ <br />...""~: \,,'" , <br /> <br />-,~ <br /> <br />'\\ 4f"..'........,\-\< <'. <br />~ <br /> <br />c::.:. \\..e.~ -... _~ <br /> <br />\ '-{2 I..{<i <br /> <br />JOB ADDRESS <br /> <br />C"' <br />J"'~-" <br /> <br />~'''' <br />"-4, "ii. <br /> <br />'~ <br />(' ", \ .>.\.IL"- <br /> <br />LEGAL DESCRIPTION: IDl(S) <br /> <br />BI...OCK <br /> <br />SUBDIVISION <br /> <br />PARCEL L D. 1 <br />WORK PROPOSED:~ew Construction ~ition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_DeJIOlish <br /> <br />PROPOSED USE: Single Faaily <br />~crci.al <br /> <br />_KIF <br /> <br />_* of Units <br /> <br />_M/H <br /> <br />_Indu..c;t. <br /> <br />_Swi.-. Pool ~~~'O..~~~ <br /> <br />Other <br /> <br />_Restaurant & Hea~th Depart:lllent Approval <br /> <br />7...,..., <br />BUILDING SIZE: ,.-A.j <br /> <br />x ~O , <br /> <br />\~()u <br />. <br /> <br />Square Feet, <br /> <br />C. '''L-_ S\~o~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COKKERCIAL : <br /> <br />ATTACH (2) PLOT PLA1!iS & (2) SEI'S OF BUILDING PLA1!iS &: (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF B1ITIJ)ING PLMilS & (1) SE1" ENERGY FORMS. ** <br />**c:on OF C01!iTRACT REQ[JJlRED. <br /> <br />PElMITS REQUR.'iTED <br /> <br />'V"BUILDING <br />./ ELECTRICAL <br />'I/HEGllANIGAL <br /> <br />$ <br /> <br />Val.uation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.G. <br /> <br />$ <br /> <br />Valuation of Hechanica~ Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />JIDQFI1!iG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_er3llle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR EL.EVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br /> <br />COTSlTRACIOR SECT'ION <br /> <br />Signature <br /> <br />mllfP.uJ"f .",.~ \~ ~,;.,".> '-~ <br />State Gert.. or Regist. 4# <br />City License Registration #i S 3~ <br />~************.***.**~***************** <br /> <br />ELECTRICIAN <br /> <br />aMlPANrY .~.~ ~\c: v. ~"'> <br />State Gert. or Regist. i <br />'City License Registration 4# ..2. S C> <br />~*****************************.**** <br /> <br />Si <br /> <br />Signature <br /> <br />1 <br />~c <br /> <br />COKPMr. <br />/l State Cert. or Regist. I <br />/ .. City License Registration I <br />/~.g,,;;'''"''':''''~''''''''ii:'''''''';;''''''''''''''''':';' ;:':',",,,,il:'idl,;:'il:::~~.!l'~2c~cl:; <br /> <br />/ cmtPANY "fl'\., . ~-,~ \~ O:_-..Jo..~~__ <br />/ State Cert. or Regisl. :f <br />City License Registration I <br />************************************ <br /> <br />PLUlKBER <br /> <br />Signature <br /> <br />KE,CHMITCAL <br /> <br /> <br />/2!J <br /> <br />01'IIER cmtPAlNIY <br />State Ce~t. or Regist. 4# <br />Signature C:it:y License Registration i <br />**************.*....************************* <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />