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<br />.. <br /> <br />APPLICATION FOR PERHIT <br />CITY Of" ZEPlIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB ADDRESS <br /> <br />Ed Mason <br />?lj 0 2.~ <br />-Same. <br /> <br />PHONE <br /> <br />~/3- 182- 4152- <br /> <br />OWNER'S NAKE <br /> <br />OWNER'S ADDRESS <br /> <br />5-t-Y) Ave '. I 'Zephyrb.L1Js I FL <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />12-2lo-21-00~O -00300-'002-0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />_Sign <br /> <br />-----1fove <br /> <br />_Deaolish " <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />-----1f1 F <br /> <br />_' of Units _M/H <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_swta. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: ~ 0 __ ~~ <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERHITS REOUESTED <br /> <br />~BUlLDlNG <br /> <br />$ :!.:/:Y:1) .~ <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CORSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlNISHED FLOOR. ELEVAITONS: <br /> <br />FT. <br /> <br />IS PROJEC'l' IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUIIDER ~ ~ W<PARY ~ ns <br />· " . State Cert. or Regist. . <br />Signature ~~. City License Registration' <br />. -- ***************************************** <br /> <br /> <br />DI V(Si "Df") <br /> <br />ELECTRICIAN <br /> <br />COMPANY . <br />State Cert. or Regist. # f<.r. ffilqlfJJW <br />City License Registration # r <br />****************.************************* <br /> <br />SimlAture <br /> <br />PLUKBER <br /> <br />CO~JJANY <br />State Cert. or Regist. '__ <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERHIT OFFICER. <br />