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<br />~' ....... .--..".' --......~,. '''''''<l'~,..",......... ....,..,..,,_..,. '.,. <br /> <br />APPLICAnON FOR PERKIT <br />CITY OF ZEPBYRHILLS <br />BUILDING DEPARTHERT <br /> <br />OWNER'S RAHB CO(\.\'0y J 7of'\\\ \e <br />OWNER'S ADDRESS (0(0 l <6 r\ ~ 1:b ~ fr'. <br />JOB ADDRESS lDC.o l <6 f\J~t~ ~ (Y <br />LEGAL DESCRIPTION: LOT(S) ;.:J6 <br />PARCEL I.D.tO~ ~ dl.o- dl- ()#S{) -C:Cf:Y) -o'J2D <br /> <br />PHONE 't~~ ~A'6 <br />LrJ\ d0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />S; )ver CbXs <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:~ew Construction ---^ddition ---.Alteration ____epair _Install <br /> <br />_Sign <br /> <br />---..JIove <br /> <br />->>eaolish <br /> <br />PROPOSED USE: _Single Faaily <br /> <br />--.Jf/F _' of Units '~;I/H <br /> <br />_ec-ercial <br /> <br />_Indust. _Swia. Pool _Other <br /> <br />DESCRlPnON OF WORK: <br /> <br />-Restaurant Ii: Health Departaent Approval <br /> <br />At ( --' <br /> <br />obn <br /> <br />~ / ~ )mr <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />C'Aa.ru:ce -Qut <br /> <br />Height <br /> <br />RESIDERTIAL: ATTACH (2) PLOT PLANS Ii: (2) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS Ii: (1) SET ENERGY FORMS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />IU .RC'1"RICAL <br /> <br />AIIP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ IlECIIAlIICAL <br /> <br />$ Uu'OS-dl <br /> <br />Valuation of Kechanical Installation <br /> <br />---..PLtllBDfG GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE 9F coRsmucnoR: _Bloclt _Fraae _Steel <br /> <br />Other <br /> <br />FlUSHED FLOOR ELEVAnORS: <br /> <br />Fl. <br /> <br />IS PROJECT IN FLOOD ZONE AREA! <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />CONTRACTOR SECTION <br /> <br />BlflJ.DBR <br /> <br />COHPARY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />RT .RCTRICL\1!f <br /> <br />COMPANY <br />State Cert. or Regist. . <br />City License Registration' <br />.......................................... <br /> <br />Si....Ature <br /> <br />PLtIIBER <br /> <br />COKPANY <br />State Cert. or Regist. , <br />City License Registration . <br />.......................................... <br /> <br />Signature <br /> <br />IlECllANICAL <br />Signature 0~l~ ' <br /> <br /> <br />~ <br /> <br />COMPANY C <br /> <br />..;.:':. ~l :>1,: <br /> <br />OTRRR COMPANY <br />State Cert. or Regist. . <br />Signature City License Registration . <br />.......................................... <br /> <br />APPLICAnON APPROVED BY PERKIT OFFICER. <br />