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<br />11 t 5 "PlH)t;. 'P~-l-r- ~"""""'''''--'",''''''''''''''-'''----''' - <br /> <br />APPL'ICAT'ION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 'R,'c.H-AfZ.D 13Jtc..JL- C/)IV~c..171J6, <br />. <br /> <br />3fc 37 ~n./DIt aNr.1+ ~/"vD. <br />OWNER #1<5, creAAl MILLeI<- <br />JOB LOCATION 51 4-1 ~ s--r: <br />II ~ /'2- <br />;)-1 <br /> <br />~c, <br /> <br />PHONE <br /> <br />782'-72. 7'7 <br /> <br />ADDRESS <br /> <br />" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />LOT SIZE_X <br />BLOCK t 54 SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I.D.iF <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration /' Repair _Ins tall <br /> ____Sign/Temp. _Sign _Hove _Demolish <br />PROPOSED USE: ~~ingle Family _M/F _iF of Uni ts ,__M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />J/- db <br /> <br />_Restaurant & Health Department Approval <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.'~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />qfpD <br /> <br />Square Feet, <br /> <br />q' H <br />0-'0 <br /> <br />Height <br /> <br />, ( <br />BUILDING SIZE: '3~ X ~D , <br /> <br />/BUILDING <br /> <br />Ef.RMITS REOUESTED <br />'0 !a 501 !!!!- Valuation of Total Construction <br /> <br />$ <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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />~ONTRACTOR ~E~~ <br />l'll1T.DER 13~-B. --B~ ' Company 1t-/2.D 15~ Co~rIN(P/:::tiJc., <br />. c..Af' -../1 6 - State Cert. or Regist. iF eJ'i'C.cxz.t;:.2.tff - <br />Signature -/.;;>. .;~... City License Registratinn" 1/ 'i' <br />****************************************** <br /> <br />****************************************** <br /> <br />El.ECTRTCTAN <br /> <br />~ <br /> <br />Company <br />State Cert. or Regist. Q <br />City License Registration Q <br />****************************************** <br /> <br />Signature <br /> <br />pl.UMBER <br /> <br />~ <br /> <br />Company <br />State Cert. or Regist. 6 <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAl. <br /> <br />~ <br /> <br />Company <br />State Cert. or Regist. Q <br />City License Registration 1 <br />****************************************** <br /> <br />Signature <br /> <br />'" <br /> <br />PTHER;1?~ &~ Company l'JWI.< 16/Z- ' <br />, - State Cert. or Regist. # <br />5 igna ture _ D\N'-" -" ___ . City License Regis tra t ion II <br /> <br />_, ," , *7;;,r**********~************1d:1:***, 1:1:#*** <br />",IOl!',....~~ I ~' . <br />.",Ap..F~~i.~~ii~nlJ~~" BY (L./]A...ti ~."^ , O/)A!\..-....., ,..,- <br />",i,\, ....... '!,t: ,...c~,...,. "ft"'''''~' _.. ...~~'. -It li'S6f~ ~~ . <br />-.;-...,,~ '.-. ~ <br />,l~._.... ,-.JI.._ ,"'-"'-.", <br />.~.". -".' " -,..',.~""'''*-.., ....._". ,-' <br />. .~ .....,-. "t ~...:~ ,", .{ <br /> <br />5? <br /> <br />PERMIT OFFICER. <br /> <br />.!.......~~C1**... <br /> <br />; . <br /> <br />.... . <br /> <br />~ .... ..". .-.-....- <br /> <br />.,............. <br />