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<br />/J-6--fy <br /> <br />APPLICATION FOR PERHI.T <br />CITY OF ZEPHYR8ILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S ADDRESS <br /> <br />WN.f- :ScJVa C~Ot.-) <br />3Cf2J-tb s"fA J4V5 <br />SftMG <br />if/ <br /> <br />PHONE 7~.3 -/3/0 <br />'2cf)Ht(f2-HILLS FL <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK -S SUBDIVISION <br /> <br />28A !1l(r2... <br /> <br />Hc/&-H1S <br /> <br />PARCEL 1. D.' <br />WORK PROPOSED:f-New Construction <br />_Sign <br /> <br />(OBTAIN FROH PROPERTY TAX NOTICE) <br /> <br />____Addition ----Alteration <br /> <br />--.Jlepair _Install <br /> <br />---",ove <br /> <br />_Deaolish <br /> <br />_ec-ercial <br /> <br />____H/F ____, of Units _H/H <br />____Indust. _Swia. Pool ~Other <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />DESCRIPTION OF WORK: <br /> <br />--.Jlestaurant & Health Departaent Approval <br /> <br />/2- IX 'V i <br />i I <br />/2. X 1'-1, / b C( Square Feet, <br /> <br />S TO /211-c:..c <br />i <br />7 <br /> <br />5f! efJ <br /> <br />BUILDING SIZE: <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 />LBUILDING <br /> <br />$ ~ S'tt"5, ) ct <br /> <br />Valuation of Total Construction <br /> <br />____ELECl'RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---1IECllAtiICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUClION: _Block <br /> <br />_Fraae _Steel <br /> <br />wooD <br /> <br />Other <br /> <br />CoYt/C{lt-r&" <br />flftJfL <br />.K- <br />NO <br /> <br />FIRISBED FLOOR ELEVATIONS: Fl' . <br /> <br />IS PROJECl IN FLOOD ZONE AREA? <br /> <br />YES <br /> <br />.......................................... <br /> <br />BUIWER ~ COMPANY <br />r7J 11 11 State Cert. <br />Signature ~ ~, City License Reg stration , <br />. ........................................ <br /> <br /> <br />ELEClnCIAN COMPANY <br />State Cert. or Regist. , <br />SiRqAture 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 />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration , <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERHI.T OFFICER. <br />