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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />L'cfl <br />3 ./...J <br /> <br />!7!'"?-'66 if~ <br /> <br />~O-J~93 <br />PHONE ??/J-7gf/ - %~ <br />FL 33~ '10 <br /> <br />OWNER'S NAKE k? C A- Yt n D""Y"\ <br />OWNER'S ADDRESS ~;l~ /;i -Msr Z~f(kV,l; Ik <br />JOB ADDRESS 5//-me .45 /9-e,trl/f:.- <br />LEGAL DESGRIPTION:LOT(S)~ +20 BLOCK IO~ SUBDIVISION C.'ITi o~ z If.> <br />PARCEL I. D.tlA-/\ ~""P~ 1l-.2~-;tJ-~JO -IDS<<>- 0 Ao (OBTAIN FROK PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -Alteration _Repair _Install <br /> _Sign _Kove _Deaolish <br />PROPOSED USE: ~ingle Faaily _KIF _' of Units _K/H <br /> _<=<-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: <br />BUILDING SIZE: ~x ?:in. -:0'" 0 Square Fe:et. 9'/ Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY 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 />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />---..KEGHAlfICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Fraae _Steel Other <br /> <br />FINISHED FLOOR ELEVAnONS: F1' . <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />./' <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BUTT.DER COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />****************************************** <br /> <br />F.T.~CTRICIAN COMPANY <br />State Cert. or Regist. . <br />SiDnAture City License Registration . <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration . <br />****************************************** <br /> <br />KECHABICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration t <br />************~***************************** <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />