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<br />APPLICATIOH FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTHEHT <br /> <br />OoD ~~ <br />fl. ~ 1// <br />\:Jf/ <br /> <br />PHONE 788-7641 <br /> <br />OWNER'S NAME DR. PAVATAR CHEEMA <br /> <br />OWNER'S ADDRESS <br /> <br />38184 MED1CA! CENTER DR. ZEPHYRH1!!S, Fl. 33541 <br />1\ II <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTIOH: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.' 35-25-21-0070-00000-0051 <br /> <br />(OBTAIH FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:_Hew Construction _Addition --....Alteration -.:i....Repair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />---1i/F _' of Units ---J{/D <br /> <br />-Leo..ercial <br /> <br />_Indust. _Swill. Pool _Other <br /> <br />~estaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: RE-ROOF <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDEHTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDIHG PLANS & (1) SET ERERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET EHERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW COHSTRUCTION. <br /> <br />PERttITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />--.KECIIAliICAL <br /> <br />$ <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBIHG GAS ROOFIHG <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUGTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAnOHS: <br /> <br />FT. <br /> <br />IS PROJEC'l IN FLOOD ZOHE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />CONTRACTOR SECTIOH <br /> <br />BU1LD~ <br />Signature /" <br /> <br />COMPAHY <br />State Cert. or Regist. . <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />COMPAHY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />SiQT1Ature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration f <br />****************************************** <br /> <br />Signature <br /> <br />KECBAHIGAL <br /> <br />COMPANY <br />State Cert. or Regist. t <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />O~ <br /> <br /> <br />:/ <br /> <br />COMPANY RYMAN CONSTRUCTJON (ROOfing Div.) <br />State Cert. or Regist. , RC0061648 <br /> <br />***:**************~::::-.:::~:~~:~:: L~~;:::::--) <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />