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<br />APPLICATION FOR PERl'IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPAR'rMENT <br /> <br />APPLICANT .~~ PFj-r(C,P"OL CPo <br />ADDRESS 7~Jt 7'lBC.C'd nR ~ I.J-J lLL--~ -r1- PHONE '7f?'fr- j 7h ? <br />OWNER C H e t7 L ~5 eJ... I? R ~ C ,q J'3 ~, r ~ P W!1 1 vV' h <br />JOB LOCATION 3g-9J/) dND q'llf.' ;Z 1J-.:}/LLt; LOT SIZE~X )~~ AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) J -;;( - -3 BLOCK SUBDIVISIOK <br />PARCEL I.D.~F /J -~t /.;;( J <br />WORK PROPOSED:-IL-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 />____~F of Uni ts ,.____M/H <br />~Swim. Pool Other <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____M/F <br /> <br />____Restaurant & Health Department Appr~val <br /> <br />BUILDING SIZE: <br /> <br />JO <br />. <br /> <br />x .Jt., <br /> <br />;;;; Ie. 11 <br /> <br />Square Fee t , <br /> <br />, <br />,,? <br /> <br />I <br />,1;'" <br /> <br />O~P7H <br />H:eisnt , <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOlJESTED <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />~Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />--1-BUILDING <br />-X-ELECTRICAL <br />iMECHANICAL <br />_t.]LUMBING <br /> <br />$ <br /> <br />9. j/JO.OCJ <br />, <br /> <br />$ <br /> <br />)/ 911(/. 00 <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel SHtJ7'c A f'"'1k- Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />!1 /jfJ.JvPl <br />aduq <br /> <br />CONTRACTOR SECTION t62 . I <br />"}"/) 17 K ~_' Company 13 D <br />~ ' State Cert. or Regist. iF <br />~. City License Registration <br />******************:************************ <br /> <br />d?A n 1- Cft. <br />iJf>ao lJ1g'l7 <br />~F J ~ <br />. <br /> <br />BUILDER <br /> <br />:T::::~::t~~~~~~ Company 0 WIlIf'A <br />... /, / . , / s~ate ~ert. or R:gist. . iF <br />_t~~____~~~ . _~~ CLty Llcense Reglstratlon ff <br />- ....... ........................***...,'*. <br /> <br />ET.1lMRF.R /} 13 711 V A"l ~ d rr ~ Company /} p, 7' s <br />() ~ 1/ / State Cert. or Regist. !,~ <br />U~11. ./~~ City License Registration <br />****************************************** <br /> <br />/1; /J l- <br />F} F' a tJ <br />iF <br /> <br />{Il. <br />LI?, ~9 7 <br />J~ <br /> <br />Signature <br /> <br />Signature _ <br /> <br />Company ~P-/?lflJ,14C --rUN <br />State Cert. or Regist. ~! <br />City License Registration # <br />************************************** <br /> <br />~ Ll</?JHI./fi? <br /> <br /> <br />-.-'-.' <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />iF <br /> <br />PERNIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />