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<br />APPLICA'ITON FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUIl.DI.5G DEPAR'nIE'.5T <br /> <br />OWNER'S NAME IA.) )).. L ))'1- p'1 f3 tf( 19 0 k / ..vG <br /> <br />OWER'S ADDRESS .39/cJ 0 Y/,(/G L./>>G <br /> <br />JOB ADDRESS S/7 ~7 c <br /> <br />PHONE 'J {1 .3 -- 6 fj z/ <br />2- -H/LLs 33-s9D <br /> <br />LEGAl. DESCRIPTION: LDT(S) BI.OCK SIJJBDIVISION <br />I ,'2 --Z,b -ZJ - OOZfl'-O/OOO.-{)8IT7D <br />PARCEL I. D . I' I <br />WORK PROPOSED :_OOew Construction / Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />t-" <br /> <br />Single Fallily <br /> <br />_KIF <br /> <br />_, of Units <br /> <br />_M/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_SwI.. Pool <br /> <br />Ot:her <br /> <br />_Restaurant &: Beal.t:h Depar1:Dlen.t Approval <br /> <br />BUILDING SIZE: <br /> <br />IS X /S-: <br /> <br />,--;;> '"'7 .r-- <br />c.~ ,-,__? <br /> <br />Square Feet, <br /> <br />P" <br /> <br />Height <br /> <br />RESIDENTIAL : <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS &: (2) SEIS OF BUILDING PLUS &: (1) SEI' ENERGY FORMS. ** <br />ATTACH (3) SEIS OF BUII.DDlG PLANS &: (1) SEI' DRRGY FORMS.** <br />**COPY OF COln'RACT RIlll1HRllD. <br /> <br />PEKlIIITS REQUESTED <br /> <br />_BUIIJ)ING <br /> <br />$ '500 <br /> <br />Valuation of Tot:a1 Construction <br /> <br />_ELECTRICAL <br /> <br />MIP Service <br /> <br />Florida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_HECHAlUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBING <br /> <br />GAS <br />/Block <br /> <br />ROOFDiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTIOl!if: <br /> <br />_Pralle _Steel <br /> <br />Ot:her <br /> <br />FI5ISHED FLOOR ELEVA'lTONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />COIJ'I'RACIOR SECTION <br />-.; <br />COlfPMIIY f1 V 5 CD /V..5 T: <br />r LL m.l / St:at:e Cert. or Regist:.' CI{ Co 3 3~Z / <br />l . (~ ~ City Lic....se Registration f ) 3.6' <br />****************************************** <br /> <br />Signature <br /> <br />EUCrRICI' <br />. I, <br />Si ture j , <br /> <br /> <br />COlfPANY <br />St:ate Cert. or Regist:. , <br />City License Registration I <br />******************************** <br /> <br />/'fT <br /> <br />PLmtBER CO'!fPANY <br />StaL~ ceLL. or Reg1st. * <br />Signature City License Registration , <br />****************~************************* <br /> <br />HECHANICAL COlfPANY <br />St:ate Cert. or Regist. I <br />Signature City License Registration j <br />***************************.************** <br /> <br />O'IBER COlIPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICA'lTON APPROVED BY PERKIT OFFICER. <br />