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<br />~- --_.,,~.,..~~,.~, ~ 10-'.... ,.....___.__. " ._ ,_..,"W_. '-'_'''__~':''''''''--'''''~'''__ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZBPBYRHILLS <br />BUILDIHG DBPARTKBNT <br /> <br />- <br /> <br />r~~++f .A'da--// <br />OWNER'S ADDBESS .5" 6 ;L..3 q>'" / re 5.5 Sf-,) <br />JOB ADDRESS ~_ d (/ a..5 teL Ie;, Ii t:! <br />LEGAL DBSCRIP'l'ION: LOT(S) CJ/70 B~SUBDIVISION OCJ6iS' <br />PARCBL I. D.' I;J T 7[1( ;2 i (OBTAUl PROK PROPERTY TAX NOTICB) <br /> <br />OWNER' S NAME <br /> <br />7g~ - CJ/g:/ <br />2eoa1vy-);;/1s ~LJ - ~5S-~LJ <br />() J <br /> <br />PHONB <br /> <br />WORK PROPOSED:~ew Construction --..Addition --..Alteration ---...Repair """"""--Insta11 <br /> <br />_Sign <br /> <br />--.JIove <br /> <br />~eaolish <br /> <br />PROPOSED~E: ~s~eF_ilY <br /> <br />--Yt/F _' of Units --Yt/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: N)/I X <br /> <br />---...Restaurant Ii: Health Departaent Approval <br /> <br />. C'K /slrt1~ f/o&!-'.- 0,.1 ' PP, . rl-C€' 6 I ' <br />e)(~.s. ;,1"'.,;/1(1 (;{)}flQ'cc.0 <br />, Square Feet, Height k,.J ;J frJ ,1~u.....J I <br />/ <br />ATTACH (2) PLOT PLANS Ii: (2) SBTS OF BUILDING PLANS Ii: (1) SBT ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDIHG PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br /> <br /> <br />RESIDENTIAL: <br />COtlHERCIAL : <br /> <br />PERKITS REOUESTED <br /> <br />~UILDIHG <br /> <br />$ <br /> <br />~76.~ <br /> <br />Valuation of Total Construction <br /> <br />RT .RC1'RI.CAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IEClWlICAL <br /> <br />$ <br /> <br />----PLutlBDiG <br /> <br />GAS <br /> <br />Valuation of Kechanica1 Installation <br />V ROOFING V SPBCIALTY <br /> <br />TYPE ~~ CORSTRUCTION: -...Block _Fraae _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVAnOBS: <br /> <br />Fl. <br /> <br />IS PROJECl I.B FLOOD ZONE AREA' <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRAClOR SHelION <br /> <br />, . <br /> <br />RUTT DER <br /> <br />COKPAHY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT.RCTlUCIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Siooature <br /> <br />PLmlBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />lIECllABICAL <br /> <br />COKPANY <br />State Cert. or Regist. . <br />City License Registration f <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br /> <br />COMPANY ~.r^"()",, ~o..f 0 .~""- J <br />State Cert. or Regist. . ~ D~:;;H~'f'f <br />City License Registration . <br />............................... <br /> <br />Signature <br /> <br />APPLlCAnON APPBOVED BY <br /> <br />PERKIT OFFICER. <br />