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<br />$> 3~. tJD <br />/0rfJi/J <br />. <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPIIYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S NAME <br /> <br />b~enV1t) n. <br /> <br />PHONE 1rj 3 - ? jf/- /4RO <br /> <br />OWNER'S ADDRESS L ~/ 3 9 ~'S~~ ri'I W1 8 r' 1// II])/" <br />JOB ADDRESS Sf ,19 S IAVU lAA (I r #1 ~ L 7)", <br /> <br />LEGAL DESCRIPTION: LOT(S) j./ <br />PARCEL 1. D. 1 /;;.. - ;;) 6 - d. / <br /> <br />BLOCK <br /> <br />SUBDIVISION .:5i/M If1 ~4 1-1/ LL <br /> <br />WORK PROPOSED:_New Construction _Addition <br /> <br />(QBTAIN FROM PROPERTY TAX NOTICE) <br />_Alteration _Repair ~nstall <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />. <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_ec:-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />, 'i <br />DESCRIPTION OF WORK: //1 5tr / / 4-5 h tJ rH Ie;:: 13 JJ ce A:5 S #/JtlJ A/ / Ai P L (J r. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMKERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERKITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />P1NlSHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA'l <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />Run.nER <br /> <br /> <br />CONTRACTOR SECTIrH I // <br /> <br />COKPANY 1V1-nrt.1../~~ <br />I 1 <br />State Cert. or Regist. <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />ELEGTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />SismAture <br /> <br />PLUKBER <br /> <br />COMPANY <br />State Cert. or Regist. 1 <br />City License Registration t <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration 1 <br />***********~****************************** <br /> <br />Signature <br /> <br />OTRRR <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration , <br />****************************************** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />