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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER' S NAKE <br /> <br />--=c~~ ~ to <br /> <br />SblA.JA~S <br /> <br />PHONE <br /> <br />OWHER' S ADDRESS <br /> <br />JOB ADD1I&';S 3 ;~~1~ ,i::,~~j~ ~ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION WA--YI.NR-rz~ Wir0'Jj <br />0;'(;.0 / <br />PARCEL I.D.' /.L} -';;;0-,;( / - () /&0 - 00000 - O$4D (OBTAIN FROM PROPERTY TAX NOTICE) <br />WORK PROPOSED:_New Construction --^ddition -Alteration -ltepair ~tall <br /> <br />_Sign <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_eo..ercial <br /> <br />--'love <br /> <br />_DeIIOlish <br /> <br />_KIF <br /> <br />~ <br /> <br />_' of Units <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant 6: Health Departaent Approval <br />/' <br /> <br />DESCRIPTION OF WORK: Ly'-y) 0 uS / i- e / /:JCrr? e C::;;.) e '7- <br />BUILDING SIZE: c;/ h X I~O. //'71'9 ~ Square Feet. / D I Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />up <br /> <br />ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />3'.:2) 0 do eiC.. Valuation of Total Construction <br />,/ <br /> <br />) S-O AHP Service Florida Power Corp. <br />q 0 u q...Q Valuation of Mechanical Installation <br /> <br />_ELECTRICAL <br /> <br />-lIECHAlUCAL <br /> <br />$ <br /> <br />_PLUKBING <br /> <br />GAS <br /> <br />W.R.E.C. <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />/?/# <br /> <br />FIIIISIIED FLOOR ELEVAnONS: <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />FT. <br /> <br />Other <br /> <br />IS PROJECT IN FLOOD ZONE AREA? X <br />YES NO <br /> <br />.......................................... <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY P/9-,Sco JlCJr7e C~~ " <br />State Cert. or Regist. .. bl-l /1 Ros- / <br />City License Registration . .J.~ ';)..0 <br />................................*....... <br />,- Of) . J \ <br />COMPANY &--e 0 ~ -e ..::yc e (-,--ne rc !j II---.JC <br />State Cert. or Regist. . L Ie 00 0 tf S-('.,r' (,,/ V' <br />City License Registration' /~-S~~ <br />..................................**.....* <br /> <br /> <br />BIn-1J1RR <br /> <br />Signature <br /> <br />~ \ /"ry "'.' <br />COKPANY1- ,~\ S. c.. 0 j ~ dr,', e, ( 'e;:t-c.. v~ <br />State Cert. or Regist. . u.'-"- J '.d'~J.- V' <br />City License Registration . ~ ..2:1)..0 <br />.......................................... <br /> <br />COIlPAIIY /zeor"'~o e gv",,~, ,,: h~c <br />State Cert. or Reg st. . CFlC 0"":'/";: ;i, ;',- V <br />City License Registration f ':;J--I r <br />...................*...................... <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />...............*......**......*..*...*.*.* <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />