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<br />APPLICATION FOR PkRKrT . <br />CITY OF ZEPIIYRHILLS .6tJ, Ob <br />BUILDING DEPARTKENT <br /> <br />.... ...' <br /> <br /> <br />(tNed) , <br /> <br />.. <br /> <br />OIlNER'S IWlI\ ~ qJ~~ 'L~ <br />OWNER'S ADDRESS /9b5/ 8RCACe ,8 'LJIYW~~ <br />JOB ADDRESS 6l./V9 1-1 fA Iv 7lll'y 70 /1l 1J12/t/"f <br />LEGAL DESCRIP'1'ION: LOT(S) &1Lj BLOCK SUBDIVISION SIL,c/eJf _ O,4/;:"S' <br />PARCEL I.D.' (j ~ - ~- d (- 0 I ~ 0 - Ooot:::O:BLf.O (OBTAIN FROM PROPERTY T~ NOTICE) <br /> <br />PHONE <br /> <br />99/-, 7gb/; <br /> <br />--..Restaurant & Health Departaent Approval <br /> <br />::~:::: WORK: x~ ~1'uar::t. ~::t ~L <br /> <br /> <br />RESIDENTIAL: A'l'TACII (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: A'l'TACII (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />RI.F.Cl1UCAL <br /> <br />PERMITS REOUESTED <br />$ ~~dOO Valuation of Total Construction '. ' <br />/..~CJ AlIP Service X Florida Power Corp. W.R.E.C. <br />$ 3.5'00 Valuation of Mechanical Installation <br />. <br /> <br />-BUILDING <br /> <br />---1fEGIIAlUCAL <br /> <br />--...PLUKBING GAS <br />TYPE OF CONSTRUC'l'ION: -2L..slock <br /> <br />S/,/,IO/9L.~ ROOFING <br />- <br /> <br />SPECIALTY <br /> <br />_Fr_e _Steel <br /> <br />Other <br /> <br />Fl.BISBED FLOOR ELEVATIOliS: <br /> <br />Fl'. <br /> <br />IS PROJEct IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />BUJI.DQ. <br /> <br />CONTRACTOR SECTION'. , <br /> <br />COItPARY ~ ~ &~A <br />~T. ~ State Cer :-or Reets . t r:C:~?<1 <br />LA. . City License Registration , <br />~* - ************************************* <br /> <br />COMPANY ~ ~ 5" ~~/'~ ~.........._ <br />~ State eeit. or Regist. , E/2 ~ 2' c; "" .f - <br />'-"'~./- . City License Registration', ..:z O/~- <br />***************************************** <br /> <br />Signature <br /> <br />RI.F.CTRIGIAl( <br />Sian~tureh ~A~ a <br /> <br />Signature <br /> <br />/udJ <br /> <br />COMPANY IIAr/YlDN ...{- T.AA-C.f'P~ <br />L -}(t State Cert. or Regist. '<fr t0~ r,; t1?// <br />< ') o......-c e-----r City License Registration , / /0 L/ <br />******************** "******************* ' <br /> <br />PLmm~ <br /> <br />KECIlANI GAT... , <br />Signature ~ ~ <br /> <br />'" <br />COMPANY A.~-C Ad~ CorllJ <br />State Cert. or Regist. , C A co 3C;}'1'11 <br />City License Registration, I~/ ' <br />****.*....**.********.****.*.***..*****.*. <br /> <br />OTHF.R COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration , <br />..*........**.....*.**.***..**.********.*. <br /> <br />APPLICATION APPROVED BY PERHIT OFFICER. <br />