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<br />~ ~ <br /> <br />APPLICATION FOR PERHIT <br />CITY OF ZEPRYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Pf{(f~ eiJ'~-c' -9p <br /> <br />OWNER · S NAHB.illrd-o. U t' i n (xl (:l1~O 0 0(111 (l i <br /> <br />:::~~I~:~~~;-:C~~ir~ <br /> <br />LEGAL DESCRIPTION: LOT (S) 8 S ~ BLOCK <br />PARCEL I.D.' 0"\ - d ~ -;1./ - 0 l,;to - 00000 - 0 fSo <br /> <br />. <br /> <br />PHONE if} ~ xlo I - ~0{)t) <br />Wud~Dn l-/. oLJf1-Lf2 / <br /> <br />~ <br /> <br />SUBDIVISION~ VQ..r ()Qt ~ P~')Q. Cro <br /> <br />WORK PROPOSED:.K,New Construction --..Addition --Alteration --Jepair _Install <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />_Sign <br /> <br /> <br />PROPOSED USE: .Lsingle <br /> <br />--.-.Hove <br /> <br />_DeIIOlish <br /> <br />F8IIily <br /> <br />--.-.HI F <br /> <br />_' of Units <br /> <br />_M/H <br /> <br />_<=<-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Depart.ent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />1n CDn:YrUCJ a ~"irXllo -fhvnl It! h(Jm~ <br />I <br />X ,~square Feet, I ~ Height <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS it (2) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. .----' <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS it (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />;:UILDING <br />huCTRICAL <br />~mAflrAL <br /> <br />-LPLUHB~ffG <br /> <br />PERMITS REOUESTED <br /> <br />$ 8'9 OeD- <br />JOD <br />$ ~,IOO.-- <br />. <br /> <br />Valuation of Total Construction. <br />~lorida Power Corp. <br /> <br />W.R.E.C. <br /> <br />A.KP Service <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />TYPE OF GOffSTRUCTION: X-BIOCIt <br />FIIIISBED FLOOR ELEVATIONS: /' Yr. <br /> <br />~ ROOFING <br /> <br />SPECIALTY <br /> <br />_Fraae _Steel <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />~ <br /> <br />.......................................... <br /> <br />YES <br /> <br />Signature <br /> <br />140 J---'. <br /> <br />CONTRACTOR SECTION <br /> <br />GOKPANY1lPC(ln~(U( +iptJ Ctcsfffi~ <br />State Cert. or Regist. ,~~ Ji <br />City License Registration' /~S~ <br />.......................................... <br /> <br />~~ <br />/ COMPANY lJJQ,H..e.1 (Jockic <br />~ State Cert. or Regiat. . lR <br />.. . City License Registration' <br />.......................................... <br /> <br />o t<../ <br /> <br />BUTIJlER <br /> <br /> <br />()b08~7D <br />17,~7 <br />, <br /> <br />('Po9("" S-/77) <br />Of.- <br /> <br />~LlJKBER <br />)ignatur~ <br /> <br />~ COHPANY PI,. <br />~ State Cert. or Regist. , <br />. ~ City I.icense Registration f <br />... ...................................... <br /> <br /> <br />.~... <br />LZ:~ -. . ..../ <br />/ <br />..".~/ <br />-_.. <br /> <br />IECBANI~ <br /> <br /> <br />n ,~iOn(n <br />ate Cert. or Regist. , . A <br />City License Registration , <br />.......................................... <br /> <br />tJ f( \.,// <br /> <br />iignature <br /> <br />!IIIEI <br />:ignaturei/~1...... <br /> <br />COMPANY IJ P (ON'>Jl1u<...T {DIAl (0, <br />State Cert. or Regist. , 03[ OS-Co?-J6 <br />City License Registration' /'7.'>10 <br />.......................................... <br /> <br />PPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />