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<br />APPLTCA'T'IOINI FOR PRRHTT <br />CITY OF ZE:PBYRHILLS <br />BUILDI.NG mr.PARl't"IE'NT <br /> <br />O"'lNER · S <br /> <br />NAME ,'21"/t / <br />d'//8'" <br /> <br />d/IA/J <br />/:L2~dJ72)/l.., <br /> <br />L.z'/flii-<-t''l./~-, ;' <br />'I / <br /> <br />PHONE ;7 Y 2 - Z 2 76 <br />;r:.,. 33 [" <..// <br /> <br />OWNER · S ADDRESS <br /> <br />JOB ADDRESS ~~ <br /> <br />LEGAL DESCRIPl'ION: LOT(S) <br /> <br />-:It' c:./ / <br /> <br />BLOCK <br /> <br />SUBDTVISIOKLZ-;O/-I't't" /U /)6 ~ <br /> <br />PARCEL 1.. D. f {().3 .-:2..6 -0.2-/ -013'.0 - e:7tt::'CJ,~c> .- CJ7C/. cJ <br />WORK PROPOSED:~lNIewr Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_l!fove <br /> <br />_DeaoHsh <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_H/F <br /> <br />_, of Units <br /> <br />~M/H <br /> <br />_eo..ercial <br /> <br />_Indust. <br /> <br />_Sw~.PooI <br /> <br />Other <br /> <br />_Res1taurant &- Health DepartJaent Approval <br /> <br />BUILDING SIZE: t + X Lf-f , <br /> <br />/1756 <br /> <br />Square Feet. <br /> <br />/~~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLMIS &- (2) SETS OF BUILDING PLMIS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUIIDDlG PLMiUS &- (1) SET ENERGY FORMS. U <br />uCOPY' OF COINITRACT REQurlRlID. <br /> <br />PE.'RKITS RE.oIW_"iTED <br /> <br />* BUILDING <br />* ELECl'RICAL <br />~m:CHANICAL <br />~LUHBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />I ~ <br />,0.>0 <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />s <br /> <br />V2'~uation of Hechanical Installation <br /> <br />GAS <br /> <br />ROOFI~G <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _FraJlle ~Steel <br /> <br />fh , I-J- ~ <br /> <br />Other <br /> <br />FItu:SJIED FLOOR ELEVATIOlN!S: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE ARE.."-? <br /> <br />YES NO <br /> <br />~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ <br /> <br />BUILDER <br />Signa tureji: /2, <br /> <br /> <br />COln'RACYOR SECTION <br /> <br />mHPAINIY J/,' IL .J;.i-U-t'7;tV:z; /lttdU<- ~~tA~ <br />State Cert. or Regist. ~ <br />City License Registration # ~~ <br />~~~~~~~*~~~~~*~*~~~~~~~~~~**~*~~~~~ <br /> <br />OOriPANY L7',4. .J'7J/'-"tJrftJ ~;~4" 'G <br />State Cert. or Regist. i <br />- <br />City License Registration I ~~~ <br />~~~~~~~~~~****~~~~~*~~~~~~~*~~~~***~~~*~~* <br /> <br />PU]KBER ,,?} mHPAINIY A1c.4-.!JV e-xn--.J <br /> <br />'-/ j /7 J rZ:-r.A/( State Cert:. or Regist. :/If: <br />Signature~#7 ~/~ City License Registration I /tJtf' <br />~~~*~~~~~*.~~~~~~~~~~~w~~~~~~~~~*~~*~~~~** <br /> <br /> <br />HEc::::HANI~ ~ OO'!IPAINIY ~A-.s. ftU.VJ/4lI-L <br /> <br />, ;) '-7 ,i!, State Cert. or Regist. :/If: <br />Signature ,p~ 4- ~ City ,.~cense Registration 11 <br />/ ~~~~~~~~~~~~~~~~~~~~~*~~~~~~~*~~~~~~~**~~* <br /> <br />~ " 4-<.... <br />'/K <br /> <br />OTHER. <br /> <br />mHPA!fflY <br />S~ate Cert. or Regist. :/If: <br />City License Registration :/If: <br />~~~*~~~~~~*.*~~~~~~**~*~~~**~*~~**~~**~~*~ <br /> <br />Signarore <br /> <br />APPLICATION APPRO\l'IID BY . &~~~ <br /> <br />PERIIIT OFFICER. <br /> <br />!< --~ ~ <br /> <br />..~.b<<IJtlr <br /> <br />l ~S!:>j <br /> <br /><(..-..<:....-u._~~_.. ......~~~.'... ,.~~_'\..,.......,'..~._ <br />