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<br />APPI,rCATION FOR PER..'1.IT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT {;ow !ccVS /J1$ SA-LES . <br />, f <br /> <br />ADDRESS 31'(4-0 I~'" s-t.fw Z:E.~Y^}/(LL5'PHONE ?R3-b'o?7 <br />OWNER 3Etf,e.Y,t-J ~/I1E.S 'S/( " <br /> <br />(, , <br /> <br />JOB LOCATION :38rP/~ ,lft'A/tJ//l5 PI( N/?I/RHt(/.. r LOT SIZE 6"3 x e=-ttJ AREA SQ.FT. ~.;2.~O <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) S / BLOCK SUBDIVISION WArWA~O tv/NO <br />PARCEL I.D.~t /'1 -;l..6-;;J...I-bl bO-OC>t!/PC> - &5'/0 <br /> <br />WORK PROPOSED:~New Construction -Addition ~lteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family ~/F _~t of Units .-A-M/H <br /> _Commercial ~Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />r:2b X 1-4, <br /> <br />I /tf-~ <br />. , <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORJIS,** <br />**COPY OF CONTRACT REQUIRED. ' <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 45; 1J1JV. crt) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />/ S- 1./ AMP Service <br /> <br />~ Florida Power Corp, <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ 12...()OOc oD <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />GAS <br /> <br />SHIN G.L.E ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, lj <br />City License Registration # <br />**************************************** <br /> <br />7''1 t\5/LJLf#<(,,'J-f!y <br />I <br />/ <br />./ <br /> <br />,; <br />: Company <br />! Stat~ Cert. or Regist. # <br />~ . ; CitYfLicense Registration <br />**********~******************************* <br />j <br /> <br />) <br /> <br />f~ ,a q' <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration <br />****************************************** <br /> <br />it . ::f7 <br /> <br />MF. r<8AN I CAT. K tJ!/!NE elfS ~ 1/C- <br /> <br />S~gnature <br /> <br />Comparrj" <br /> <br />State Cert. or Regist, # <br />,City License Registration # <br />****************************************** <br /> <br />7P <br /> <br />OTHER <br /> <br /> <br />Signature <br /> <br />it <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />