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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />1?c-J~~ E 5)1i(,~ <br />~/:z 7 C'~yn~O 5~fr:'i.. <br />Kfc-L-'Avd E S fA. ~{'eV' <br />~OB LOCATION 6/~7 C~YU~O 51- ' <br /> <br />APPLICANT <br /> <br />PHONE '78.'2 - ::4 7.2 r <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />'. <br /> <br />LOT SIZE X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. ~~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair A-Install <br /> _Sign/Temp. _Sign _tlove _Demolish <br />PROPOSED USE: ~Single Family ~M/F _# of Units ,._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: /0 I X ~' I Square Feet, 7' Height <br /> I <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 FOmlS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />VBUILDING <br /> <br />$ <br /> <br />3.25: ~ <br /> <br />V~luation of Total Construction <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 />.... . <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />, SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame ~Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registration # <br />********************************** <br /> <br />S i e!fia ture <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************~*~***~*~~**************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~********~**************************** <br />, d~. _ J:7/t.r~ " <br /> <br />PERl-lIT OFFICER. <br />