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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. '''''' <br /> <br />OWNER'S NAKE <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction -Addition -Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--'love <br /> <br />_Deaolish <br /> <br />nOPOSED~E: _SiqleF~i~ <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESlDEBTIAL: <br />COMKERCIAL <br /> <br />ATTACH (2) PLOT PLANS &: (2) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS &: (1) SET ENERGY FORMS. <br />nOPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_KEGIIANlCAL <br /> <br />$ <br /> <br />Valuation of Kechanica1 Installation <br /> <br />_PL~ING GAS ROOFING <br />TYPE OF CONSTRUG"l'ION: _Block _Fr~e _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FIliISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS nOJEG"l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRAG"l'OR SECTION <br /> <br />BUTI.DD. GOKPABY ~' ~ ~ ~ tVHi re ~ ~r- ::;?Jcy <br />~ A/. -;r-- State Cert. or egist.' ~o~"Z-~ <br />Signature ~ City License Registration , I 7 / ~ <br />****************************************** . <br /> <br />Rl.RGTRIGIAN COMPANY F~ lt~j,./~.",. E/<<. c,,I)fr. <br />/J I. J---" State Cert. or Regis't.' bP 6D IJ Y V..2.. <br />SiDnAture ~ ~ City License Registration' /7ZJ- <br />****************************************** <br /> <br />Signature <br /> <br />?-----! <br /> <br />COMPANY 'i?::rj~~ ?~~Iv.J ~11/c... <br />~.. ~tate Cert. or Regis. 'Cor {'..o2n 3Cf? <br />----------- City License Registration' /71- c.PCO- 2-'-' 3{2- <br />****************************************** <br /> <br />PLUMBER <br /> <br />KECllAHICAL <br />Signature .e;;;6--J /J1d~ <br /> <br /> <br />COMPANY <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />****************************************** <br /> <br />APPLICATION APnOVED BY PERKIT OFFICER. <br />