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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME /7lJ1Jnu r F. /fJAI/J Sf/9!rv /') <br />OWNER'S ADDRESS S ~ s", t 7ft- ~ 7:- <br />JOB ADDRESS ') t j (J 6.L:J;t- S T' <br /> <br />)~N~L'/( .> <br />2. -Jllt-t$' <br /> <br />2 ~ll / L4...S <br /> <br />PHONE 7R~.~l.- V) <br /> <br />LEGAL DESCRIPTION: LOT(S) I~_ 2.(") <br /> <br />BLOCK '3 SUBDIVISION L /7 Yo' '2 - II IL LS <br />, <br /> <br />PARCEL I. D.' / I "2.. (. L I 0010 IJ S ~ tJ() Q I g tJ (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:..LNew Construction _Addition ~teration _Repair _Install <br /> <br />_Sign <br /> <br />-'love <br /> <br />/Deaolish <br /> <br />PROPOSED USE: _Single FUlily <br />Veo..ercial <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant <br /> <br />& Health DepartJllent Approval <br /> <br />~, /j6A~_ AJ~ ~ ~ <br />I' . <br /> <br />~,.-n. <br />, <br /> <br />DESCRIPTION OF WORK: r. ~ <br />R' X /9 ' <br /> <br />BUILDING SIZE: <br /> <br />I ,S- 'L <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLARS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLARS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />JBUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ '<-sop, IJ v <br /> <br />_ELECTRICAL <br /> <br />AtIP Service <br /> <br />Valuation of Total Construction <br /> <br />/' Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLuttBING GAS ROOFING <br />TYPE OF CONSTRUCTION: _Block ~8IIe _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIlIISHED FLOOR ELEVATIONS: <br /> <br />'" <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? ~ <br />YES NO <br /> <br />.................................********* <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />~ aMPARY <br />~ State Cert. or Regist. . <br />City License Registration . <br />*.*****************.*******.*.*********** <br /> <br />Signature <br /> <br />RUO:CTRICIAN COMPANY <br />~ ~ State Cert. or Regist. . <br />SignAture~' City License Registration . <br />* *********.****************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />*****.*****.****************************** <br /> <br />MEGHABICAL COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.***.****.*****************..************* <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />*.****.*********************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />