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<br />. / V <br />37t? jJ <br />6") ~y b,D~, 17 <br />~ , t, <br />OWNER'S NAKE ~4uv-~ L ~ PHONE 7~~-S-~o~ <br /> <br />:::~:X~~ J~~Jrrj~~~)3 ;;:~ <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' /2- 2"-21- DODO -oL/f60- 0 D" 0 (OBTAIN FROH PROPERTY TAX NOTICE) <br />IiORK PRoPOSBD:~ Construction -...Addition -'/ute ration _pair _Install <br /> <br />_Sign <br /> <br />-Hove <br /> <br />_D~olish <br /> <br />PROPOSED USE: _~le FUlily <br /> <br />_H/F _, of Units _HIH <br /> <br />_ec:-ercial <br /> <br />_Indust. _SwiIB. Pool _Other <br /> <br />_Restaurant & Health Department Approval <br />DESCRIPTION OF WORK: /J1"u)- ~;,e:, ~~f L~/ /1..4-G?~~ <br />BUILDING SIZE: '/~ ifj "X s<t , 2.1 b (P Square Feet~~O'" Height <br />( <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 />~UlLDING <br />~ELEC'fRICAL <br />~HECHANICAL <br /> <br />PERHTTS REOUESTEQ <br />$ 90e' nOD - Valuation of Total Construction <br />:2 0 D AKP Service Florida Power Corp. <br />$ '3 to 0 0 ~ Valuation of Mechanical Installation <br />l <br /> <br />W.R.E.C. <br /> <br />~UKBING GAS ~ ROOFING <br />TYPE OF CONSTRUcnON: _Block ~Ule _Steel <br /> <br />SPECIALTY <br /> <br />FInsHED FLOOR ELEVAITONS: <br /> <br />Other <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? -.J:::::::" <br />YES NO <br /> <br />---****************-*******-************** <br /> <br />I <br />PLIIIIBEI\ ~ COIIPANY, <br />, ~ State Cert. or Regist. . <br />Signature ~ 2,&~ City Liceose Registration . <br />*******-********************-************* <br />I <br /> <br /> <br />CONTRACTOR SECTIOtj, .;/ <br /> <br />~ COKPANY t:k.},J1..~ ~ ~~ <br /> <br />~ State Cert. of'Regist. , ;(k'oo <.-I'-Ix-If' <br />. ~ City License Registration' 2uq 2- <br />*****************************-************ <br /> <br />F(~1\+ C~?~ ?-t~~'f <br /> <br />OMPANY <br />tate Cert. or Regist. , <br />ity License Registration , <br />******************************* <br /> <br />-/ <br /> <br />BUTT .nO <br /> <br />Signature <br /> <br />Iqh <br />I <br /> <br /> <br />/ <br /> <br />Signature <br /> <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****-*-*********************************** <br /> <br /> <br />/ <br /> <br />OTIIRR <br /> <br />~ COMPANY 'C?!I//;/ "e~,4/?- <br />~ .-- / ./ , State Cert. or Regist. , /{c ~()'(?~~/ <br />~ a.e City License Registration' Ii;' <br />***********-****************-************* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT. OFFICER. <br />