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<br />,..1'..........,'....-...~-~'t....____........ ,.~ <br /> <br />APPLICATION FOR PERHIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />_'S IWlI\ .Q US So 6 L~ VV\. <).2, 'f2 Ol~) I,-l PIIONll '7 '80 I '8'2 4- <br />OWtiER'S ADDRESS 37-36" JLl/" G:ELl-\ La 0 llr 2' \:t ILLS r:=-C::Sss<'f- \ <br />JOB ADDRESS 4- f 7 4- ~ , LV E n.. c \ a C L € '2 E P H y 12. Kill s: FL 3~ ~'4- I <br />LEGAL DESCRIP'lION: I.OT(S) BLOCK SUBDIVISION C 1-+ '" L Fa NT v I LL t4-~ <br />PARCEL I.D.' (/( ECo f2 D 'PL)41 '13>OD'''- ~ \ Pl-\~E)(J (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED: l/'Hew Construction ---.Addition ---.Alteration ---..Repair _Install <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: \/'Single Fallily <br /> <br />-J./F _' of Units -J./H <br /> <br />_ec:-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />----Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: 2 CJ X 4-].{.,'J 12(,1.., Square Feet, <br /> <br />, <br /> <br />25 Height <br /> <br />RESIDEBTIAL: ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS&: (1) SET EHERGY FORMS. <br />COHHERCIAL: ATTACH (3) SETS OF BUILDING PLANS&: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />LsUlLDIHG <br /> <br />V RT.ECl'lUCAL <br /> <br />l/' HECBAIIICAL <br />~~~G <br /> <br />PERMITS REOUESTED <br /> <br />$ <br />Ino <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />{/' Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F COIfSTRUcnON: -lLBloclt _Fralle _Steel <br /> <br />Other <br /> <br />FIllISBED FLOOR ELEVAUOIfS: <br /> <br />Fr. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.......................................... <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />mMPANY q () ..s .sE LL rV\, ~ 'RCll-...' ,,\ <br />~ I J -vv1 (';) State Cert. or Regist. . C fr {'n ~"?, l (., I \ <br />'t1t~~N'- III .-~ ~ City License Registration , 7._ 4-'5, <br />........................................*. <br /> <br />Signature <br /> <br />HECIWIlCAJ., <br /> <br />Q~.Lt <br /> <br />COKPANY 9 UssF{ c 1'}1.. ~120llJJ'--\ <br />(';J State Cert. or Regist. . En. cx) losS- I <br />11l...J-""::>'W1t,tA.-.' City License Registration' ";'5< <br />....*...................*........**.....*. <br /> <br />COMPANY .9 USSF u- V\-1. ~'ROtv'~ <br />V\A c:J . State Cert. or Regist. , C reo '?,C(C(q G <br />~ . -e> J.t::5t...~ Ci ty License Registration . I c.~ ') <br />..........*....*..........*.....*******... <br /> <br />COKPANYQ() $$(=-/ _( ill, ~ROLv Id <br />r;) State Cert. or Regist. f ('~ 14 c..c-' 4-1 ?~4- <br />YV\. '-,~ ~~ City License Registration' {-, <br />.....................*...........**.****.. <br /> <br />ELECTRICIAII . <br />SiQllllture Q.v'J!1ell <br /> <br />PLUNBER <br /> <br />Q~)A <br /> <br />Signature <br /> <br />Signature <br /> <br />OTIIF.R <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration I <br />...........................*.....*..*.*... <br /> <br />Signature <br /> <br />APPLICAnOR APP1lIlVED BY ,flanh~ Il} fi-1'-j ~ <br /> <br />PERKIT OFFICER. <br />