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<br />5hmei!se/ <br /> <br />APPLICATION FOR PERHlT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTHEHT <br /> <br />OIlIIER'S - ~a: q ~ ~ <br />OWNER'S ADDRESS /9661 /:$I1II.rO IS j).n.{~ <br />JOB ADDRESS-6aO~ Jf!v.a rYa1>Jr- f)-;, J~ <br />LEGAL DESCRIPTION: LOT(S) ~ BLOCK~~~e SUBDIVISION t.k.u. ()~t$ <br />PARCEL I.D.I 03-afr~ - O/~A - ()t)oO 0 - 6O~O (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />PHONE <br /> <br />'ff/-?3U <br />""~/1JPA FiA <br /> <br />WORK PRoPOsED:hew Construction ---.Addition ----..Alteration --..Jtepair _Install <br /> _Sign ---.JIove --.J)eaolish <br />PROPOSED USE: -1(single Faaily ---.JII F _, of Units ---.JI/H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />--..Jtestaurant &: Health Departaent Approval <br /> <br />DBSCIUPTIOB OF 1lOIlI(: ~ ~4 ~ <br /> <br />BUILDING SIZE: X Square Feet, Height Ja ~ ~ <br /> <br />RESIDENTIAL: ATlACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COHHERCIAL ATlACII (3) SETS OF BUILDING PLANS 61 (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~UILDING <br />'K RI.RcnucAL <br />~CIIAN1CAL <br />~UMBING <br /> <br />PERMITS REOUESTED <br />$. (:; ~O () 0 Valuation of Total Construction <br />8. 1::0 AHP Service X Florida Power Corp. <br /> <br />.! . <br /> <br />V.R.E.C. <br /> <br />$ <br /> <br />9..9(2) <br />" <br /> <br />Val.uation of Mechanical. Installation <br /> <br />GAS <br /> <br />X ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTIOH: X Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAnORS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l -1L- ~ I; <br />YES NO 20,Je C <br /> <br />.......................................... <br /> <br />BllTlJ)ER <br /> <br />CONTRACTOR SECTION' <br /> <br />COHPABY' "1. . e <br />~ () _ --I- ~ State Cert. or Regist. , <br />^1StJ..fJ~ a. . City License Registration , <br />... ..................................... <br /> <br /> <br />Signature <br /> <br />COMPANY5if 5 e/~c.--T ~ .-.Z;;c.- <br />~ State Cert. or Regist. f E/l t:h:X) ;l6 t/5- <br />.4!-- . City License Registration', 2 '75-- <br />. ........................................ . <br /> <br />PLUMBER COMPANY /I~I'lJ;.J .f-T~. i.PLu~/Jt--~ <br />// / ~/_ " State Cert. or Regist. . A"r t:'.JtJ:r~ ~ // - <br />Signatur~ ....,....~ ' X ~""""--:~ity License Registration' / S- S- <br />............ ............................ <br /> <br />HECBANI.~'~ COMPANY AI!CAlc ~ Ipc- <br />State Cert. or Regist. f C!.~ c..o "3 'Z..Y'f7 <br />Signat e _ City License Registration, 1<;;"1 <br />.......................................... <br /> <br />RI.RCTRICIAR <br /> <br />SilmAture Y~.n-~/ a <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration I <br />.......................................... <br />L '\117. . _ 0...... A.'........................."'\: <br />t: y~:.f)4 ~ 'fT,", j! ! <br />." :;,,",..^ ..~" PBRHIT pFFICER. <br /> <br />~ ", . .' ~ <br /> <br />Signature <br /> <br />APPLlCAnON~. "r,:;J:S.l',~", ~ <br />~JI-l."':;;'- f, _.--.t.,.~~i4"",~ .----' <br />L'''' ( ... ..,1.,.... <br /> <br />tt.LV lIllllll.....-.~ .,. <br />