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<br />-- <br /> <br />APPLICATIOl!il FOR PERMIT <br />GI'IY OF ZEPJIYRHILLS <br />BUlLDIl!iIG DEPARl'm!',NT <br /> <br />OWNER · S NAKE <br /> <br />(!~rc/' <br /> <br />(1:1~ " p' <br />, <br /> <br />,~./ A' ~r,A./ ~e?./ <br />/ <br />_.~ <br />o /9 /Yl s:- <br />, <br /> <br />Pl10NE <br />/.....4"'(9 u/ . <br />/ <br /> <br />?F'-S? 5? I <br /> <br />OWNER · S ADDRESS \? 9 \r~ .c <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: wr(S) <br /> <br />BLOC.K <br /> <br />SUBDIVISION <br />I /J-- <br /> <br />ill ~ It../ J!'; L , <!""CI> .-/. <br />,. - <br /> <br />PARCEL I. D . # <br /> <br />/..1 -db. -d I <br /> <br />It{ <br /> <br />(:) <br /> <br />WORK PROPOSED:_!Il1ev Construction ~ition _Alteration _Repair ..L-Install <br /> <br />_Sign <br /> <br />_I!fove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />_'. of Units <br /> <br />_M/H <br /> <br />_eo..ercial <br /> <br />_Indust__ _ _Swi. _ Pool <br /> <br />Other <br /> <br />_Restaurant & Health Dep:rrtae:nt 4\l'prova1 <br /> <br />J::-" <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />cot1KERCIAL : <br /> <br />A'ITACII (2) PLOT PLANlS & (2) SETS OF BlllLDIl!iIG PI..!U!S & (1) SET ENERGY FORMS_** <br />ATTACH (3) SETS OF B1llLDDG PLANS & (1) SET ENERGY FORi.."IS.u <br />'4--4'COFY OF COI!ITRACT REQUHRIJD. <br /> <br />PERKITS REOUP_c;TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />u' <br />53-0' - <br /> <br />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 />s <br /> <br />-. <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fr3llle _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIOl!iS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE.>\? <br /> <br />):"ES NO <br /> <br />-4''4-'4-~~~-4'-4'-4'-4'-4'*******-4'*****~-4'-4'~~********~*~*~ <br /> <br />Signature <br /> <br />~ <br /> <br />COllilTRACTOR SF.CTIOIH <br /> <br />COHPAHY ~~.itA ~ C'..~ <br />St:ate Cert. or Regist. I d. 00 .." <br />~ ~ ~/ City License Registration;# '$I 7 <br />*~******-4'**-4'*-4'***-4'****-4'******************* <br /> <br />RUILDY.R <br /> <br />..., <br /> <br />EI.ECTRICIAN COHPANY <br />St:ate Cert. or Regist. # <br />Sismature City License Registration f <br />-4'*-4'-4'-4'*-4'***-4'*-4'*-4'*****-4'-4'-4'*-4'*-4'**'4-*-4'****-4'-4'**** <br /> <br />PLOKBER cmlPANY <br />State Cert. or Regist. j <br />Signature City I"icense Registration it <br />~**-4'**-4'~****-4'**-4'-4'-4'**-4'-4'****~****-4'****-4'-4'*~~* <br /> <br />MECHANICAL cmlPANY <br />St:ate Cert. or Rcgist. , <br />Signature City License Registration I <br />-4'*-4'-4'-4'-4'*-4'-4'-4'-4'-4'-4'***-4'-4'-4'-4'-4'*-4'**-4'-4'**-4'**********~* <br /> <br />OTHER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration , <br />...*...................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br /> <br />Ii <br />