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<br />APPLICAnON FOR PERKlT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAKlLf'l C \" '<l,.U\ 1<-. <br />OWER'S ADDRESS :PD ED X <br /> <br />fooo<. STolZ-eS I.uC PHONE ~13.- 815-QQZ.2 <br />3D3<63 Tv4-MA4 t-!Ot!'C Dv+ 33"3"D <br />~02lo N &All 8l \/0{ ,Z6P~ Y~~d(S I rr:: I~ <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIP'lION: LOT(S) <br />PARCEL I.D.' S -;;2 b - ;;2/ <br /> <br />B~SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction --..Addition ---..Alteration --...Repair _Install <br />~gn ---1fove ->>eIIOlish <br /> <br />PROPOSEDOOE: ___S~eF_ily <br />~erCia1 <br /> <br />---,,-'F _, of Units ---"-/H <br /> <br />___Indust. _Swia. Pool _Other <br /> <br />--...Restaurant &: Health Departaent Approval <br />DESCRIP'lION OF WORK: R6rl)()".~ eJ,I~TI'^''' ?"lot'V Sl(pvu ,41AJP Kt;"P;Acc:r W tTH Wb''''"'' PV lo.lJ 51,..;...) <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACK (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COtIKERCIAL: ArrACK (3) SE'lS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />---.BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />___ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-IlECllAlllCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />--.PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY ' <br /> <br />TYPE OF CONSTRUCTION: ___Block ___Fraae _Steel <br /> <br />Other <br /> <br />FIllISBED 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 />BUTTJlER <br /> <br />COItPANY <br />State Cert. or Regist. , <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTIUCIAII <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SianAture <br /> <br />PLOHBER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />IlECllARICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />OTRRR COMPANY 1411 tS W Oi S ;>14-1 S :::J:jN<:... <br />, D""'. .J-~ W~ State Cert. or Regist.' es eooo 15"0 <br />Signature J<""U ~ ~ City License Registration' 7:1..L.. <br />* ************************************** <br /> <br />APPLICAUOB APPIlDVED BY 'f1 t,/M<' <:J !J1 ~ PEIlIIlT OFFICER. <br />