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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ory' rj' <br />-"l/~1 /,S'q" <br />!Jr tf1r ql <br />/ <br />I <br />.:Q &'3 0 7~ rt <br /> <br />C.",\N \) ~ f''j \...ol.t.. \-\.e', N VYlQ.rl PHONE ~) ~ <br />f3crj q3) <br /> <br />~ ~-)\IK kCLAA€ 4h<'vL, \ I~ ) t: \, 33S'i cJ <br /> <br />LEGAL DESCRIP'lION: LOT(S) 0 BI.OCIL--SUBDIVISIOAA K G-es-\ ~+-e s <br />o &> \ra.:S'€.. :r:. <br />PARCEL I. D.' ~ - (7,.. b ~ ~) - V~ '"3 D - DDdco -0 0 b 0 (OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />OWNER · S NAME ~ -e. <<- (Co) <br />OWNER' S ADDRESS y.( 1<. '"6 <br />JOB ADDRESS '35' 3. <0 1- <br /> <br />WORK PROPOSED :LNew Construction ~ddition --Alteration __epair _Install <br /> _Sign ----.JIove ->>e-olish <br />PROPOSED USE: /Single Faaily ---1f./F _' of Units ---1f./H <br /> _ec-ercial _Indust. _Swia. Pool _Other <br /> <br />_Restaurant &: Health Departaent Approval <br /> <br />DESCRIPTIOB OF WORK: <br />BUILDIMG SIZE: Iff Ir X r-~ .)..~ ?'t Square Feet, / ~ Height <br /> <br />RESIDEBTIAL: AtTACH (2) PLOT PLABS &: (2) SETS OF BUILDIBG PLANS &: (1) SET ENERGY FORMS. <br />COMMERCIAL: AtTACH (3) SETS OF BUILDIMG PLANS &: (1) SET EBERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~IMG <br /> <br />PERHITS REOUESTED <br /> <br />VELECTRICAL <br />~CIIAlIICAL <br />~~G <br /> <br />$ 0>t 00-0- VD <br />(j..Jn) <br /> <br />AIIP Service <br /> <br />Valuation of Total Construction <br />~Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />$ <br /> <br />~ cnr() <br /> <br />Valuation of tlecbanica1 Installation <br /> <br />GAS \ .--ROOFIRG <br />TYPE OF COBSTRUcnOB: ~f- V-;raae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />v <br /> <br />FIRISHED FLOOR ELEVAnORS: 1.iJ Fl. <br /> <br />IS PROJEct IR FLOOD ZONE AREA? <br /> <br />YES <br /> <br />NO <br /> <br />.......................................... <br /> <br />BmJ.DER <br /> <br />CONTRActOR SEctION . <br />lDtPAIIY (~"C 6 ~ cl Cn-~ L\C.-+Il1I,- :::I4 C . <br />State Cert. or Regist.' R~ 0--15 [) 3- <br />City License Registration' I} 7 <br />.......................................... <br /> <br />COMPANY t4~~~n ~~~l~ ,L~;r <br />State Cert. or Regist. . E.. 0013 ill{ <br />City License Registration' 30"<" <br />.......................................... <br /> <br />PLlIIUII lDtPAIIY ~ U ~ \-'-1 S tJ l~ W\ Ie. I ~ ~ <br />if ^ n . ~ . State Cert. or Reglst.' ~CO ~b ~ <br />Signature t\A.~ City License Registration' ,1>'4-(, <br />..... ... ................................ <br /> <br />tlECBABICAL ~/) 1 COMPANY 'Soctr~~~^J Cdilf"o~ <br />-.. . . State Cert. or Regist. f IUh C/O 1$ o~~ <br />Signature _______________ City License Registration, "f/ <br />.......................................... <br /> <br /> <br />OTRRR <br /> <br /> <br />COMPANY ~rl.-' CoP5ii'uc{..;C1A.. 5.A1.c <br /> <br />te Cert. or Regist. . R. ~ 6ol?h583 <br />City License Registration' J 17 <br />.......................................... <br /> <br />Signature <br /> <br />APPLlCA~ APPROVED BY <br /> <br />PERtIIT OFFICER. <br />