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<br />.. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME v'lj1f1c <br /> <br />IY/;C.h9.e../ r'fJ )e{')1I e vlj (e <br />9"1, <br />(... ..s7-, <br /> <br />PHONE 72),- 5/ 3~ <br /> <br />OWNER'S ADDRESS ~-:t; C} 't I <br />JOB ADDRESS ~ /'" _'<; hi ~ <br /> <br />? -y'AJrhl (Le <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />~ARCEL I. D. ',-) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_New Construction _Addition -...Alteration _Repair _Install <br /> <br />_Sign <br /> <br />--Jlove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--Jl/F <br /> <br />_' of Units _M/H <br /> <br />_~ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br />DESCRIPTION OF WORK: ~o/;Cl)1' 51{:/;()~, I?~ /be fJ <br />BUILDING SIZE: X 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 />---../ <br /> <br />~LDING <br /> <br />PERKITS REOUESTED <br /> <br />$~7m~C>o <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AKP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />----1IECllAliICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-"LUHBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fralle _Steel <br /> <br />Other <br /> <br />FIllISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />.......................................... <br /> <br />COIlTRACTOR SECf~ <br /> <br />RIJTI.ng & COMPANY .. 19-n1...e....~;r~ <br />/ State Cert. or egist.'. <br />Signaturet4..u... flt I~ City License Registration , <br />..............**.......................... <br /> <br />../ <br /> <br />RT.RCTRICIAN COMPANY <br />State Cert. or Regist. , <br />SignAture City License Registration , <br />.......................................... <br /> <br />PLUHBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />.............................*............ <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. . <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 PERKIT OFFICER. <br />