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<br />APPLICATION FOR PERl-tIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />POdL <br />ADDRESS 7."?/? ;-j,t1s;/v J/R :2 7-;J11.5 <br />G ~/1f EA,QL J-} If/'? L <br />Jon LOCATION 3J/lf7 rpr R~/J/ Pi- <br />)47 <br />PARCEL 1. D. t~ 03 - .;; (. - ;;{ J <br />WORK PROPOSED:~New Co~st~uction____Addition <br /> <br />H tf.J J 1<:, <br /> <br />Co, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />;:: '- :3 ?<?;J/ PHONE <br /> <br />[)y VIELtJP/'7~ffr <br />. . I I <br />LOT sIzEl2$-X //'1 AREA SQ. FT. <br /> <br />SUBDIVISION ~ J t. VFA t7~.x-5 <br /> <br />,~/ fS g- -- / '/ h '7 <br /> <br />OWNER <br /> <br />BLOCK <br /> <br />-^lteration <br /> <br />_Hepair <br /> <br />_Install <br /> <br />____sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />_~~ of Uni ts <br />Xswim. Pool <br /> <br />._~l/ll <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: /S X 3cJ , <br /> <br />1~ ~/. <br /> <br />Square Fee t, <br /> <br />( <br />I~ <br /> <br />f)UtP Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COmlERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FGrUIS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REQlffiSTED <br /> <br />lBUILDING <br />XELECTRICAL <br /> <br />$ JO, .3tJcJ. cJcJ Valuation of Total Construction <br />" <br /> <br />AMP Service X Florida Pm.Jcr Corp, <br /> <br />_\-I.R.E.C. <br /> <br />_MECHANICAL <br />LPLU1-lBIN'G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />/J R 1')..} 2,/~ <br />fl4tV1 <br /> <br />-Y'~~ <br />:!~~ <br /> <br />{;ONTRACTOR SECTI~ \ Pt r: <br />Company tf?7" '11 L (J <br />State Cert. or Regist, if I7rpt1 '1'1 ~ 97 <br />Ci ty License Regis tra tion i! J ~ <br />****************************************** <br /> <br />IHJILDER <br /> <br />:T::::~:~ ~; t; Company rf- [LU-r/11C- <br />, r/ State Cert. or Rcgist. II j[:/et/6"ldNbH~ <br />~ "_ " :- - -;J, -:1..... *:~****.. ;~;~ *~~;;~::.~: ~~~; ::~; ~~: "J~ <br /> <br />Signature <br /> <br />1117-7;'; vA fit? H" ~ ,Company f) (3-/5 P tjf; [1 <br />' // --I-- 1/ tJ State Cert. or Regis t. i.! I)" 1/9'1( 7 <br />fA/J/thun ./I~J)J " City License Regi~tration iF 'l~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />.City License Registration f~ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or"Rcgist. 0 <br />City License rtegistr~tion 0 <br />") <br />*,**~'~.. ::4*~t*H.*,-l(**** ' <br />, ",.,'~~" PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY. <br /> <br />