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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'11'~ O/Yl A- ~ L ~ } T Lt\€- <br />OWNER'S ADDRESS h 0,- t-IP &0.30 <br />s/frnt: <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />7?02-...');:) 7 b <br /> <br />RJ DCrEr- LPA'r' <br /> <br />D /:Lot <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL 1.D.' .J- r;) b .~/~ /J':;>/tJ - O€JtJt:Jtt7- /')'1Eo (OBTAIN FROH PROPERTY TAX NOTICE) <br />V <br />WORK PROPOSED:_New Construction _Addition -.J\1teration _Repair _Install <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Deaolish <br /> <br />~ . <br />PROPOSED USE: _Single Faaily <br /> <br />_H/F _, of Units _H/H <br /> <br />_eo..ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: C(.\~fJo R....., <br />BUILDING SIZE: X r~ ~ 0 Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />/' BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />/~ d-.S', 00 <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 />---1IECllAliICAL <br /> <br />$ <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TfPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FDUSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS 'PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY /1 L-E /} L L1 JA1 . <br />/J,/ 4/ r7'1--/ ... State Cert. or Regist. , C'€'Co...? '1i:,tPO <br />~~~ ~ City License Registration , J>~ <br />.......................................... <br /> <br />Signature <br /> <br />ELECTRIClAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />.......................................... <br /> <br />SiQIIJlture <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />.......................................... <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. f <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 />PERKlT OFFICER. <br />