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<br />APPLI~"^~TI01!l1 I'Ok PRP.HIT <br />CI'IY OF ZEPIlYRlIlfLLS <br />nlITI.DIl!iG DEPARI1lllENr <br /> <br />. , - <br /> <br />OWNER · S ADDRESS <br /> <br />S:uthlarIi Caqmatim <br />1 JX) Ire Rarl <br /> <br />PIIONlR 4W- 295- JJ?6 <br /> <br />OWNER · S MAKE <br /> <br />OrJaUo, Flacida 32810 <br /> <br />JOB ADDRESS <br /> <br />J3~ 5th AVEnB- ZeJ:i1yrhills Flacida <br /> <br />LEGAL DESCRIPTION: wr(S) 8, 9 & 10 <br /> <br />BI.OCK1fJ:) <br /> <br />SUBDIVISION! ~illR <br /> <br />PARCEL I. D.# <br /> <br />WORK PROPOSED:_!!ilew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_!!love <br /> <br />_DellOlish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br /> <br />_KIF <br /> <br />._* of Units <br /> <br />_H/H <br /> <br />_Coaaercial <br /> <br />_Indust. <br /> <br />_swi.. Pool <br /> <br />Rarrxiel <br /> <br />Other <br /> <br />_Restaurant Ii: Hea U:h Depart:llent Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />, RESIDENTIAL: <br />,COKKERCIAL : <br /> <br />A"ITAGII (2) PLOT PJ..M,:. Ii: (2) SEIS OF BUll.DING PL;\IN!S Ii: 0) SET ENERGY FORH.':;. U <br />ATrAGII (3) SETS OF P. lULDlliIG PI.ANS Ii: (1) SET ENERGY FORMS. ~~ <br />**copy OF COItffRACT n ~Qmr:RllD. <br /> <br />PERKITS RROUP_'>TED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Constolction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />_ ,..Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />X <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fr:me _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR .ELEVATIOlNlS: <br /> <br />P'l. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />********~~******..****************~*****~* <br /> <br />mln'RACTOR SECTION <br /> <br />RUILDER CX>>IPMlIY M · D. IS u ,I cI~ J' 5 2#? <br />~ ~ /Sf:ate Cert:. or Regist. j elSe Ot!>o.3/1/. <br />Signature /" ./' /~ L City License Regis t ra tion!lt 3" ~ <br />*** ..*~*~...*..*....**.*************.~* <br /> <br />ELECTRICIAN OOlfPMlY ~ V t/ -e / ~ / <br />:: /) ~ #~ State Cert. or Regist:. :fI: ~tet:/C70 ~Y'5' '2..--- <br />SO ture ~~) City License Regist:rat:ion f c;2 7~ <br />****"'***1; ***...******"'***.*..****.****~**' ~W '- <br /> <br />CDlKPANY tJ U Gf.fi,J~ b/<-. ?<--v""~t5 I r/ c: e u <br />State Gert. or Regist:.:f# (] p (2 0.;2. 7" J- J (,) <br />U fJ City License Registrat:ion t ~ /6S- <br />********~~******.**************.********** <br /> <br />PLUPtBER <br />Signature a~ e ..3~ <br /> <br />COltPANY <br />State Cert:. or Regist::, , ift <br />City License Registration # <br />******.*~***.***..*****.**~*************** <br /> <br />HECHAlfiCAL <br /> <br />Signature <br /> <br />CUllPANY <br />State Cert. or Regist.' ~ <br />City License Registration J <br />***.**.*~**************.****************** <br /> <br />0T1IER <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />