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<br />OWNER <br /> <br />APPLICATION FOR PEID1IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTr-tENT <br /> <br />Oil' \j~' (:)1 ~ ~ '\~ \)~ ~ ') -rh c D 0A - R ~f\) <br />46 }. S G oJ \ b \ \) L~~" 2'L pk--,\ "h~115 ~P;IIClNE ~.\ ~ '" ~l~ J-. <br />~y I?- Y\ J (,,,- --S ~f\ VI Q.. <-:; " .J ~, <br /> <br /> <br />M CA \1-1- <br />~SS;0 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # :2 - c;) 0 - ;;).../- / ~) -- 0 - I <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration <br /> <br />_Eepair ____Install <br /> <br />____Sign/Temp. ____Sign <br /> <br />_~Iove ____Demolish <br />,.LM/H <br /> <br />PROPOSED USE: ____Single Family ~M/F _# of Units <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant & Health Department Approval <br /> <br />N/A <br /> <br />, <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF nUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.1d:' <br />**COPY OF CONTRACT REQUIRED. <br /> <br />../ BUILDING <br /> <br />$\C <br />$ J () ()'0 <br /> <br />PERMTTS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service' <br /> <br />Florida Power Corp, <br /> <br />_H.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 <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />mJ1LDERk~ f \) <br /> <br />1"'\ (.". v + <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />KLpO <br /> <br />1""\ (,\ l,- + <br />DH \ \ :}.. I J.- <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 1F <br />City License Registration # <br />****************************************** <br /> <br />MECHANICA1, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED ny <br /> <br />~*************************************** <br /> <br />J~'<J4e~ . <br /> <br />PERNIT OFFICER. <br />