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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <A€BHI4(2'1 COV~ilAJGl:S-e;PII..'t'H,J1U)~Tr> PHONE .81~.-78;J..-1 ?'1~ <br />I <br />OWNER'S ADDRESS 3S 1)1 'i i' V!: L 'f'IJ L~ ~.t-(I(...L.> FL.. 335"'-1-0 <br />JOB ADDRESS ~ 8 / (2.. f () t: c... 'rAJ L. tV . 2... H ( ~.L ! r L . J ; r 'fo <br />LEGAL DESCRIPrION: LOT(S) '-Dr ~ BLOClL..-SUBDIVISION O~I(. cn,fr'l'r.< iAT!) <br /> <br />PARCEL 1.D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:-"ew Construction v'Addition --Alteration _Repair _Install <br /> <br />_Sign <br /> <br />-....Hove <br /> <br />-Deaolish <br /> <br />80POSED~E: ~leF_ilY <br /> <br />---.Jt/F _, of Units _M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />-Restaurant Ii Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~._I ~ 8 <br /> <br />Square Feet.~eight <br /> <br />RESIDEIITIAL: ATTACH (2) PLOT PLABS Ii (2) SETS OF BUILDING PLABS &: (1) SET ENERGY FORMS. <br />COHHERCIAL: ATTACH (3) SETS OF BUILDING PLABS Ii (1) SET ENERGY FORKS. <br />80PERTY SURVEY REQUIRED FOR ALL NEW CORSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />5000 <br /> <br />Valuation of Total Construction <br /> <br />RT.RCTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---.JIECBAIIICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUHBIRG <br /> <br />GAS <br /> <br />ROOFIRG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCl'IOR: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FIlIISBED FLOOR ELEVAnORS: <br /> <br />FT. <br /> <br />IS PROJECl' IN FLOOD ZORE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />BUTT.DRR <br /> <br />~.~~E::~CWj~_ ,vL <br /> <br />~ ' State Cert, or Regist,' R& ""^1~3 <br />UI1fl:r CtJV/)lvf.!e.. r City License Registration . /J '7 <br />......................... ............. <br /> <br />~r~lliC <br /> <br />State Cert. or egist.' .f- cJ 0 l7 ~ ~ <br />City License Registration' L <e '1 <br />.......................................... <br /> <br /> <br />Signature <br /> <br />COMPANY <br /> <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration t <br />.......................................... <br /> <br />Signature <br /> <br />KECBAlU.CAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />Signature <br /> <br />OTRRR <br /> <br />-'. <br /> <br />COMPANY <br />State Cert. or Regist. , <br />, City License Registration t <br />.........*~~.~........................... <br />, ; f$ <br />;~-:..;' <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />" 'R< <br />."t. ;.'J <br />,P.ERHIT OFPlCER. <br />