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<br />APPLICATIO~ FOR PERMIT <br />CIlY OF ZEPllYRHILLS <br />BmLDlliG DEPARnIEIn' <br /> <br />OWNER'S NAME r f( H )/ k (3 E A/ SOP <br />OWER'S ADDRESS hI 2 b C HR.! 57tJ# 5T <br />JOB ADDRESS -5 i? /YI "E <br /> <br />mONE 'lJo.-- /,tJor <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOC:K <br /> <br />SUJBDIVISIO~ <br /> <br />PARCEL I. D. # <br /> <br />KORK PROPOSED:_IIew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />CJv'EJ(~oOF <br /> <br />PROPOSED USE: <br /> <br />~ing1e Faaily <br /> <br />_H/F <br /> <br />_' af Units <br /> <br />_K/H <br /> <br />_~rcial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />Other <br /> <br />_Restaurant &: Bea.1t:h Depan:.ent Appraval <br /> <br />BUILDING SIZE: <br /> <br />/0 <br /> <br />x -.SO , <br /> <br />Square Feet, <br /> <br />SOD <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOY PLANS &: (2) SEIS OF BUILDING PLAJNlS &: (1) SET ENERGY FORMS. ** <br />ATTACH (3) SEI'S OF BUIIJ)lliIG PLANS &: (1) SET E1'mR.GY FORKS."""" <br />**COPY OF CONTRACT REQm:RED. <br /> <br />PERKITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />/~9~ 00 <br /> <br />Val.uatian af Tatal Constructian <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br /> <br />Flarida Power COrp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Val.uation lOf Mechanical. InstallatilOn <br /> <br />_PLUKBTNG <br /> <br />GAS <br /> <br />ROOFTIiG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _BllOck _Fr~ _Steel <br /> <br />Other <br /> <br />FllUSHED FLOOR ELEVATIONS: <br /> <br />FI' . <br /> <br />IS PRO..JECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />COfiRACTOR SECTION <br /> <br />BUILDER <br /> <br />r <br />COMPANY ;:1 J..5 C'lJ ,n/S/ <br />o ---/ ~/ / /' State Cert. lOr Regist. 4# CI< Co '3392 I <br />~ ~ City License Registratian!lt /SS- <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICIAN COIIPANY <br />State Cert. lOr Regist. 4# <br />Si2fiature City License RegistratilOn I <br />****************************************** <br /> <br />PLDtBER CD1IPAIn <br />State Cert. lOr Regist. !It <br />Signature City License Registration I <br />**********************:****~~***~~~~~*x:*~ <br /> <br />MECHANICAL COltPANY <br />State Cert. lOr Regist. I <br />Signature City License RegistratilOn I <br />****************************************** <br /> <br />OTHER COMPANY <br />State Cert. lOr Regist. I <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />