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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S N~~ /l.7 ~ ~ <br />OWNER'S ADDRESS 'lrtJA 7 I 0- ~ <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~ 8-/'7-10 <br />PARCEL I.D.' /1- ~ b-c2/ - 6 0/0 A-- 0 b :J...Oc:J ~ (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />----",ove <br /> <br />____Deaolish <br /> <br />PROPOSED USE: ____Single Faaily <br /> <br />----"'I F <br /> <br />____, of Units ----1l/H <br /> <br />____ec-ercial <br /> <br />____Indust. <br /> <br />____Swia. Pool _Other <br /> <br />____Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />v BUILDING <br /> <br />$ <br /> <br />/,~OO~ CV <br />, <br /> <br />Valuation of Total Construction <br /> <br />____ELEC'fRlCAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MEGBAIUCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOR: ____Block _Fraae ____Steel <br /> <br />Other <br /> <br />FIRISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA., <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER COHPARY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />F.T .F.CTRICIAR COMPANY <br />State Cert. or Regist. , <br />SiRnAture City License Registration , <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />****************************************** <br /> <br />omF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />