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<br />APPLICATIOISl FOR PHRHIT <br />CITY OF ZEPIIYRHILLS <br />B1JJII.DIISlG mrPAR1'WE:NlT <br /> <br />OWNER · S NAIfE <br /> <br />// 11/2 Tz ~ t f..., .> $ tMlftl <br /> <br />, , -- <br /> <br />S-S-/,f C-/12L- BL- t/~ <br />5/fMt$- <br /> <br />PHO!!iE <br /> <br />7 13-6 6-7~ <br /> <br />OWNER' S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />_~ _SUBDIVISION! <br /> <br />PARCEL LD.' <br /> <br />WORK PROPOSED:_Jlew Const:ruct:ion ----.JUIdit:ion AAlt:erat:ion _Repair _Inst:all <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single FaBlily <br />Lec-ercial <br /> <br />_KIF <br /> <br />_' of Ufnit:s <br /> <br />_HIH <br /> <br />_Indust: . <br /> <br />_Sw:L.. Pool <br /> <br />Ot:her <br /> <br />_Restaurant: & Healt:h Depart:.ent: Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet:. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHKERCIAL : <br /> <br />ATTACH (2) PLOT l'I..MlIS & (2) SETS OF BlITLDING PLANS & 0) SEI' ENERGY FORMS. ** <br />ATTACH (3) SEI'S OF ~nm..DD!G PIAH~f & (1) SEI' ENERGY FORKS. ** <br />**COPY OF COHTRAC:':' REQun:mrl:t. <br /> <br />PERlInTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />VaJJJai":iou of '("..tal Const:ruct.ion <br /> <br />_ELECTRICAL <br />LHECHAlUCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />s <br /> <br />Valo.at:ion of Mechanical Inst:allat:ion <br /> <br />_PL~ING <br /> <br />GAS <br /> <br />RfJOFDlG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION!: _Block <br /> <br />__Fr3llle _St.eel <br /> <br />Other <br /> <br />FINISHED FLOOR EI.EVATIOHS: <br /> <br />Fi'. <br /> <br />IS PRO...."ECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />*'l!:*"'******ihl!oft*********"'*"'**********ojI,ojI,***"'* <br /> <br />a;~TR!\croR SECTION <br /> <br />BUILDER /~~. 1t CUltPAHY <br />-,;:'7 . I /) St:at:e Cert:. or Regist:. :/# <br />Signat:ure _ ~~~ City Licen.~e Regist:ration :/# <br />***********************-1:."'**"'************** <br /> <br />efta- <br /> <br />S. <br /> <br /> <br />Fr~r ((4Y;J <br /> <br />5 t:e Cert:. dr Regist:. I. <br />ity License Regist:rat:ion I I~; <br />*** -:**'5:*****iI-****************** <br /> <br />PLOKBER <br /> <br />cmtPARY <br />~~at:e Lert:. or Regist:. I. <br />City LiceEL~e Regist:rat:ion I <br />***'" *****of.: *** ,i'-II:""*'ilcoJ:-II: "ll:'il-il-*..t:-II:***-II:-II: !J:**,'I:*****.",* <br /> <br />Signat:ure . <br /> <br />MECHANICAL ~ CO!fPARY <br />~ /~ 0 f) Stat:e Cert:. or Regist:. I <br />Signat:ure/i It . ~ City License Regist.ration I <br />**iI-*****~iI-**il-il-******il-il-*******iI-*iI-****-II:***** <br /> <br />OTHER. CO'IfPMiIY <br />Stat:e Gert:. or Regist:. :/# <br />Sigoat:ure City Li~ense Regist:rat.ion j <br />****iI-********iI-*r.,:-******. .". .1t********ojI,******** <br /> <br />APPLICATION APPROVED BY PERKI'r OFFICER. <br />