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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />/J ) ~LDING DEPARTMENT <br /> <br />OWNER'S NAME ,~~ -;:-~-z::.c-4'~" <br /> <br />OWNER I S ADDRESS J'- () '9' / f? CI( Sf' <br />-r-P <br /> <br />PHONE <br /> <br />7fJ-- O?03 <br /> <br />JOB ADDRESSC:Z ~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL L D,' I J -;;L 6 -;)/ - e L7 /0 - r:2lS bY u. 00 -5. D (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction ~ition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F_ily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_eo..ercial <br /> <br />_Indust, <br /> <br />_Swia, Pool _Other <br /> <br />_Restaurant Ii: Health Department Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: /~ xl" , / ~d <br /> <br />Square Feet, '7" Height <br /> <br />RESIDEIITIAL : <br />COMKERCIAL <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORKS, <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION, <br /> <br />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />W,R.E.C. <br /> <br />_KECllAllICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr_e _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />Fl' , <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION , <br /> <br />BUILDER ~J "~ COMPANY ~~.p~~~~'<l) <br />'r/. L _. / State Cert, or Regist. , <br />Signature ~ ~.., City License Registration' <br />.......................................... <br /> <br />ELECTRlCIAIJ COMPANY <br />State Cert. or Regist, . <br />Sionature City License Registration , <br />.......................................... <br /> <br />PLUKBER COMPANY <br />State Cert, or Regist. , <br />Signature City License Registration , <br />.......................................... <br /> <br />KECHANICAL COMPANY <br />State Cert. or Regist. I <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 />