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<br />APPLICATION FOR PERKIT <br />CIlT OF ZEPIIYRHILLS <br />BUIIJlINlG DEPAR'I1!'IFJ'Nf <br /> <br />JOB ADDRESS <br /> <br />~~tJa?::. <br /> <br />. <br /> <br />Gp \'- <br />\j:) \~ <br /> <br />\..J..::) \ DQ. <br /> <br />PIImre <br /> <br />..--. <br /> <br />OWNER' S NAME c....uD~ <br />'?...D ~ <br />OWNER · S ADDRESS .....J l~ =:::;) <br /> <br />'() 'C~") L~ <br />\-J \~ \.;::J <br />SUBDIVISION ~S\<;QA "('()-~ .)) " <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL I. D." <br /> <br />)4- ' /.lo - :2-) <br /> <br />cY::0\:J - en 1...C:>o - ~t) <br /> <br />..-uRK PROPOSED:-X-New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: !<J-Single Faaily <br />_~rcial <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_Indust. <br /> <br />_Swlli. Pool <br /> <br />Other <br /> <br />[:2-, Rest:aurant &:, ~th Depart:.ent Approval <br />,~ \"2-')( \'5 ~ \ \0 ) <br />BUILDING SIZ . X . Square Feet. <br /> <br />~1C\ '*? <br /> <br />Height <br /> <br />RESIDEIITIAL: <br />cmtKERCIAL : <br /> <br />A'ITACH (2) PLOI' PI.ANS &: (2) SEIS OF BUILDING PIJUilS &: (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUII.DDilG PLMlS &: (1) SET ElfflRGY FORKS.*:!' <br />**COPY OF CONTRACT REQrnBED. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~ PERKlTS REQtmSTED <br />34')5 Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />MfP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Inst:allation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr:me _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD zmre .AREA? <br /> <br />YES NO <br /> <br />***************************:I-*:I-*********:!-*:I- <br /> <br />co~croR SECTION <br /> <br />BUILDER cmtPANY <br />St:ate Cert. or Regist. I <br />Signatnre City License Registration I <br />****:I-****:l-*********:I-******:I-*:I-*:I-******:I-**** <br /> <br />ELECTRICIAN OOIIIPANY <br />St2te Cert. or Regist. I <br />Si~tnre City License Registration I <br />:I-*:l-*:l-**:I-:l-:l-**:I-**:I-*:I-************:l-**:I-*:I-:l-****:!- <br /> <br />PLmtBER CO'ItPAlft <br />SI;:ate f'.ert. or Regist. I <br />Signature City License Registration f <br />**:!-*:I-**:I-:l-:l-***:I-*:I-:l-*:!-:l-:l-:l-:!-:!-:l-:!-:l-:!-:l-****:l-*:l-:l-*:l-:l-*:l- <br /> <br />MEC'HAlUCAL COMP,AHY <br />St:ate Cert. or Regist. f <br />Signature City License Registration I <br />*:l-*:l-*:l-****:l-*:l-*:l-:l-*:l-:!-:!-***:l-:l-***:l-:l-:l-:!-:l-:l-:l-:l-:l-*:l-:l-** <br /> <br />0'I1IER CO'!IPANY <br />State Cert. or Regist. I <br />Signature City License Registration I <br />*:l-*:l-:l-:l-*:l-**:l-**:l-***:l-*:l-***:l-**:l-**:I-*****:!-:!-:l-:l-:!-:!-:l- <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />