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<br />APPLICAnON FOR PIWIIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OIIIIBR' S IWIB \ IQ6.v /1), tk ^- 1> E t '( f~ 1- ,lINt (-A.-- PIIO.Ee;, /)) (; 7S""~' ill <br />OWER'S ADDRESS .2 Ie) U/--v,-h)1lJ d .51 ~A.M"'" ..:TAl Yt.() 72. <br />JOB ADDREsS 37ij'f::; I?/LJt-,6t/UL'f (~ Zyvry,v{t' /--/ <br />LEGAL DESCRIP'l'IOR: LOT(S) 29 BLOCIt.--SUBDIVISION A to. d (11-4.1 i.)U(l /1/.hV(.\"L <br />/ <br />PARCEL LD.' !D-2b-JI-(}/20.-0(XJOO G~9c" (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---...Addition ---...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />PROPOSED USE: --i.Single F_ily <br /> <br />---1t/F _' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-..Restaurant & Health Departaent Approval <br />/I J I j <br />DESCRlPTlOR OP WORK: ;// {'f/V' I-lcm (- <br /> <br />BUlLDIRG SIZE: ~ X s"" : <br /> <br />~uare Peet, <br /> <br />Height <br /> <br />RE5IDEIITIAL: ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COHKERCIAL: ATTACH (3) SETS OP BUILDING PLANS & (1) SET ENERGY PORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REQUESTED <br /> <br />RT.RcnuCAL <br /> <br />$ <br />LC;-C) <br /> <br />Valuation of Total Construction <br /> <br />_BUlLDIRG <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />--1IEC8AlllCAL <br /> <br />$ <br /> <br />Valuation of lIechanical Installation <br /> <br />_PLtllBIRG <br /> <br />GAS <br /> <br />ROOPING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSmucrIOR: -Block _Pralle _Steel <br /> <br />Other <br /> <br />FIRlSHED FLOOR ELEVAnORS: <br /> <br />n. <br /> <br />IS PROJEC'l IIi FLOOD ZONE AREA? ..x. <br />YES NO <br /> <br />..............*.......**..........**....** <br /> <br />RMIDRR <br /> <br /> <br />CONTRACTOR SECTION <br />COHPANY W, // itluh1 (J A-lv ~.s4uc.--h 'o~~ <br />State Cert. or Regist.' ('J():10tY-74 <br />City License Registration . r <br />.........*......*......*...*......*..*.*.* <br />-" I" (r ( <br />. '...; .' /, ,'-' <br /> <br />Signatur <br /> <br />..., <br /> <br />.~ ' ; <br />CO,.....&UV Ii., i. /' I '. <br />rarftl.1l.&.---4. ..//.- y'r v' ,'"" {, <br /> <br />State Cert. or Regist. . <br /> <br />. - ,-,c., City License Registration . <br /> <br />.....~~.........*....**.**...~...*.**..*.. <br /> <br />-./ i~~ <br /> <br />RT .RCTRICIA:& <br />i\ <br />Si~Ature ! <br /> <br />< <br /> <br />. <br />, <br />";.: : <br /> <br />~ ,/ <br />/~~". =~ert:;:~ ';e~i;2'~/'" "L (~j!, c,/> <br />;Ix: ., 'I City License Registration . <br />.....................*............**...... <br />kJ#..ft.;;1 Alo,JSo ~i' \ <br />---... COMPANY t'n<'P'~~ C~" ~n.r! /-t'l. , <br />State Cert. 0 Regist. . .)~~9... OcJ~ /d;; <br />City License Registration f~{)/J S'-.:J,i13 <br />.................................*....***. <br /> <br />OTIID _ fl / ~ COMPANY t1/J0~ fe,;~N;/A <br />era ~ '- State Cert. or Regist. . ~L otJ'/~.zt// <br />S.....ture \ . =- City License Registration' :3 c; <br />.................................*....*.*. <br /> <br />APPLICAnON APPIIOVBD BY J1 ~ JJ1 ~~ <br /> <br />PLUMBER , / <br />Signature -\) <br />I , <br /> <br />/-;} <br />, <br /> <br />IlECllARICAL <br />Signature -It;; <br /> <br />PERMIT OFFICER. <br />