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<br />.- <br /> <br />APPLICATION FOR PERt-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANT <br /> <br />f} r? -r' t; <br />ADDRESS ~.. 73) {, <br /> <br />OWNER (g EfJLf.. <br /> <br />c~. <br />, <br />:; /) < "/v j) tA :;:z J-J J .l [.5 r 1- PHONE '/ tr g <br />_ .re. E fP.,9 L J).:J... c'r fPvC) 1- D ~y Pj:- <br />, <br />\ . . <br />JOB LOCATION .1;)1):;; g-7"N Sf: 2 }../}L1S LOT SIZEi.t-XJ!/rJ AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S))3 - / tJ - / ~ BLOCK)f? '3 SUBDIVISION <br /> <br />Pp t1 l- <br /> <br />J7t 7 <br /> <br />PARCEL l.D.t~ J j - dt, -- ,;; I - <br />WORK PROPOSED:~New Construction ____Addition -Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />____Move ____Demolish <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_t~ of Units ,.____H/H <br />~Swim. Pool Other <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: J~ X "6/J, <br />. <br /> <br />lj. .t('/J <br /> <br />Square Feet, <br /> <br />} <br />, "? 7"/J <br /> <br />L <br /> <br />DEr'"7H <br />.Ut:iollt <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 FOR~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />rERMITS REOUESTED <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />-i-BUILDING <br />-t-ELECTRICAL <br />--t.-MECHANICAL <br />..$.-PLUMBING <br /> <br />$ };;;;.....<'"OO. (}O <br />/ <br /> <br />$ . ":? .3 ,z;d. tJ 2) <br />, <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame _Steel .51:1 rfC tJ3E'fLOther <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />n .cONTRACTOR SECTION n ' <br />)}J3UILDER nA:f'J-IUJI:i! Jt.p-.}(",[ .. Company 1'11=3 7,~ <br />/' /7 J- '/ / State Cert. or Regist. iF <br />! Signature [A/1l;1'uttl# ~(l> City License Registration II <br />I ********** * * ******** ** *;, *;,* ;,* '" * *;", .:", {,;, ,', {, ,', * <br /> <br /> <br />1::.::T~:::1~:N-t;;: ~8 F1 f) hJ _ Company h "- . f 1 E. t: 7d"1 } (' <br />i -,-" . ~/~ State Cert. or Reg~st. 1F <br />. (7 t'~ PV~ --b-" City License Registration iF ~~tJ <br />** *******************"'******************* <br /> <br />J}FJ-r'>>Vfl ~f~. Company f)tR7'S ~d1- <br />'--7):1- if. . t/ d State Cert. or Regist. i,! <br />Signature 1~//1 4~Pj City License Registration i~ <br />. ***** ** **********.************* * **,' * ;,* * *-1,* {, <br /> <br />MECHANICAL ~ P1f'17p}/V" A p.f1J.f1J V'lC,7~/ Company f? F..,/7f'1J IN(;71f,/V'''' <br />n _ State Cert. or Regis t. 1F <br />Signature J>~A/1'L.. &1Il/1l11JnnJ~ . City License Registration ;iF <br />***** *************~~*******~**~********* <br /> <br />(-:::/p n '- <br /> <br />Co. <br />J~ <br />, <br /> <br />- <br /> <br />Co, <br /> <br />PUlMBF.R <br /> <br />J;:;;' <br />, <br /> <br /> <br />H 1.-1/ /? J/Yl/./'? <br /> <br />7s"" <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br /> <br />OTHER <br /> <br />**********************************~******* <br /> <br />APPLICATION APPROVED BY <br /> <br />,"'- <br /> <br />PERMIT OFFICER. <br />