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<br />APPLICATION FOR PERN"IT <br />CI.TY OF ZEPHYRHILLS <br />BUILDI.NG DEPART~1ENT <br /> <br />APPLICANT <br /> <br />;", <br />ADDRESS 3008 Orange Ave., Ft. Pi~rce, Fl. 34947 <br /> <br />Richard T.St:llr.klpn/Ali:J~ C'npm;r.rll, Trlr. <br /> <br />PHONE 407 - 464 - 9544 <br /> <br />OWNER <br /> <br />Circle K Corp. <br /> <br />" <br /> <br />JOB LOCATION 1201 Hwy 54 A east <br />Tra9t~ 45,51, 52, <br />LEGAL DESCRIPTION: LOT~SJ el 8. G2 <br />PARCEL 1. D. ~t <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISIONZephyrhills Colony r.ompany <br />Lands <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />__Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____~t of Units <br /> <br />, .____H / H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Upqrade <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 FORNS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />EEEMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />/1 L/{Jo <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 />ROOFTNG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_..Frame ____s teel <br /> <br />x <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />.~..,. ,~CTPR SEGTTQNcL" ~ ~ <br />BUILDE ' Company a AM ' , <br />. J ' State Cert. or Rcgist. ii' e.t"?oIf9,-r-tJ:3 <br />Signatur City License Registr,ttion ii =-.Z;-/ 0.:5 PE'clJiLrr <br />****************************************** <br /> <br />Sirmature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />. PLUMBER <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />City L~ccnsc Rccistrntion j~ <br /> <br />Signature <br /> <br /> <br />OTHER Richard T. Stucklen <br /> <br />PERtlIT OFF leER. <br /> <br />APPLICATION APPROVED BY <br />