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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME l~ ~ f15s <br /> <br />OWNER 'S ADD1lESS~~ <br />JOB ADDRESS~M{; <br /> <br />LEGAL DESCRIP'l'ION: LOT(S) <br /> <br />AuT/) PAR1; <br />JJ . ::3D } <br /> <br />PHONE <br />7-efftIi< MILLS <br /> <br />1'9-~8 <br /> <br />BI.OCI'..--.SUBDIVISION <br /> <br />PARCEL I. D.' (OBTAIN FROM PROPERTY TAX NOTICE) <br />v.,,/' <br />WORK PROPOSED:~ew Construction --Addition ----1Uteration ......:....Repair _Install <br /> <br />_Sign <br /> <br />----'love <br /> <br />_Deaolish <br /> <br />PROPOsm~E: _S~leF_ily <br />~erCial <br /> <br />---1f/F _' of Units _K/H <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />.-Restaurant Ii: Health Departllent Approval <br />DESCRIPTION OF WORK:~ tf\fItj.J~ ~ fac (3I.(jHf1:1-fTtvb <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />~ <br />~UlLDING <br /> <br />$ ~3~Z;-a-D <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida. Power Corp. <br /> <br />W.R.E.C. <br /> <br />---"ECIIAlIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUcnON: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDlISBED FLOOR ELEVAnONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />BIJTI.DRR <br /> <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' '/:J:L <br />....................................... <br /> <br />Signature <br /> <br />RI.R.CTRTCIAN COMPANY <br />State Cert. or Regist. . <br />Sianature 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 />OTIIRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />