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<br />APPLICATION FOR PERtiIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br />PHONEl Y/ J) ./s-ol-- 5'tlfC:> <br /> <br />OWNER <br /> <br />JOB LOCATION <br />LEGAL DESCRIPTION: LOT(S) /0 7 <br /> <br />LOT sIzEJ:]LX J <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. tF /U 7' C <br />WORK ~ROPOSED: f~w <br /> <br />,_ J - j ,_:. ,_. <br /> <br />, <br />f ,I -- <br /> <br />Ie <br /> <br />Construction <br /> <br />____Addition <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ngle Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_t~ of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 3....}/ X 5 -t , <br /> <br />Square Fee t, <br /> <br />Height <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 FORI'!S. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />)'ERMTTS REQUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />I ( . c/ <br />Iv ~ f.,vJ - Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />L-Frame _Steel <br /> <br />Other <br /> <br />I <br />FINISHED FLOOR ELEVATIONS:~2, FT. <br /> <br /> <br />****************************************** <br /> <br />CONTRACTOR s.EmmJ. 4 ~ rJ ) <br />Company w.... t-J .'Y) ,qlVA/ W \IF . <br />,~,). j)" '3 i <br />State Cert. or Regist. iF It' 't C,! toe.; {,.. <br />City License Registration ii - '( <br />1, * * * ******* ********** * *,', 1,-/, '~-Y;;f*'~ ,', ,', ,', ,',;, -/'.'" ,', ,', *. <br /> <br />~ It <br />f..- e? Company ( X lIt.. ;1 J~t.. :, (~- ~- .' " <br />StateCert. or Regist. iF (JOI:1J'-f1 <br />Ci ty License Regis tration i/ ;20 b <br />************************************** <br /> <br />:!h,.. <br /> <br />~Au - <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. <br />City License Registration # <br />****************************************** <br /> <br /> <br />a <br /> <br /> <br />Company II /a(f~)(1 ~( /lr iZ~:;/ii~9-' /' <br />State Cert. or Reg1st. O_~~_~~ <br />?City License Registration O' /~' <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />~************************************** <br /> <br />q -'" -"\f 4 hl4)~' , <br /> <br />PERI-lIT OFFICER. <br />