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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPllYRHILLS <br />BUILDING DEPARTKENT <br /> <br />OWNER'S N <br /> <br /> <br />PHONE (&15) 7 ~) - 7 ~ f J <br />2~ h h . J( PL -, 35r ( <br /> <br />JOB ADDRESS <br /> <br />OWNER'S ADDRESS <br />)ti1hP (f.? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br /> <br />WORK PROPOSED:_New Construction _Addition. -...Alteration <br /> <br />_Sign <br /> <br />_Kove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />_KIF <br /> <br />_' of Units _K/H <br /> <br />_<=<-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool _Other <br /> <br />DESCRIPTION OF WORK: <br /> <br />_Restaurant Ii Health Departaent Approval <br /> <br />ovt H~t{t <br /> <br />BUILDING SIZE: <br /> <br />Square Feet, <br /> <br />jJv ~ jJ) <br />(. j <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS Ii (2) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS Ii (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />'3G(V('7 <br /> <br />PERMITS REOUESTED <br /> <br />_~C'l'RICAL <br />~CllAlUCAL <br /> <br />$ <br /> <br />AMP Service <br /> <br />Jf / SO f!!!- <br /> <br />I <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />Valuation of Kechanical Installation <br /> <br />_PLUKBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fraae _Steel <br /> <br />Other <br /> <br />FlllISBED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />****************************************** <br /> <br />YES NO <br /> <br />'CONTRACTOR SECTION <br /> <br />BtITT JlER <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />Signature <br /> <br />RT.RCTRICIAR <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />****************************************** <br /> <br />SilrflAture <br /> <br />PLUKBER COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />IlECBABIGAL t COMPANY 0 L/o nIJVCt rt ~.A,>tJ/J~J f If('lt/~ -' f <br />~ .~ State Cert. or Regist. , {, .1-r(J ,<;"0/7'7 , 7 <br />Signature ~. ~ City License Registration' <br />./ / ***************************************** <br />I' <br />OTRRR COMPANY <br />State Cert. or Regist. , <br />Signature City License Registration . <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERKIT OFFICER. <br />