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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT B \.LA j 1 ' s .~ tJ b ~. I ~".' :Y-o WI e <br />ADDRESS \ cro7 S'~l..<.V\cters 1(C)' Ll ~~ \ls <br />OWNER VVlA'f ~~\..OV"'Ia.V)\. . <br />JOB LocATIONJ 93 '-Is ~t:k live. '2' )/,'/I~ <br />LEGAL DESCRIPTION: LOT(S) Lor ft> BLOCK SUBDIVISIONS;'rtA.llll-e fH#fAte.K... <br />PARCEL I.D.l~ /2--.2" - .).,/- OiJ~B '-oarbO-1) 000 <br /> <br />PHONE <br /> <br />7 i'J. - (j 0 () I <br /> <br />LOT SIZE 'f()/x ?9/ AREA SQ.FT. <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____i~ of Units <br /> <br />,.3LM/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim.. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SIZE: ,1 '-I' X S6: 'I if Square Fee t I <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />COM1'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <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 ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />._.~ I lV\ \ '\ I \ CONTRACTOR SEC.IP2N " 1 II <br />v'nUTLDF.R JJLAi:)--l)\.t S 1I\l\b\ e \"\<>~. Company \.~lH-l("j": ~ mClbi ~ H-oM..e.. <br />w. , 1.\ 0 \\ State Cert. or Rebst. iF <br />Signature~f})\...X.:'-lkJ \~.ll A .. City License Regi~tration if 5.79 <br />U * * * * * * * * * * * * * * * * 1r * * * * * ." ic ic ic * ic ." * * 1c ;c ,': ;c .:: ;c ;, ,', ;, ,'c " <br /> <br />ELECTRTCTAN <br />Sionature IUd <br /> <br />Company l)c G KE r I< I ~ €.(A-Tt 0 N <br />L. / / I /J/J State Cert. or H.egist. if E'StJ60o<J' / <br />/<. ~ -fi'j ~ fJ~oU'L City License Registration iF #1 <br />****************************************** <br /> <br />..,...~l"\fi> ~ f'\~ <br />0\C"I. ~ c.3<.- <br /> <br />Q \ f\a.elic ~ . Company .~)<t.[')~^,1 ~ /ec.Jdc. <br />State Cert. or Regis t, i!..a()ooZ" I 60 <br />~1d..r\o-Ad) City License Registration iF -~7 <br />****************************************** <br /> <br />II PLUMBER <br /> <br />Signature <br /> <br />MECHANICAl. <br />Signature ~ I< <br /> <br />Company A e e. t ~ r I? I ~ E lA-it 0 AI <br />h _/ A . /1/J State Cert. or Regist. i,!~C. tJ 3"11.3':'- <br />fl~r--"- C/Uk,J[tq~ City License Registration il &3 <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION AP7ROVED BY <br /> <br />******** ****~~;'********* *ic;:;c ,'c;: 1: .:c 1:;c ,'ci, * i, * <br />7 0 A-\ At...l a 0./\ /J\" 'r " --- <br /> <br />PERNIT OFFICER. <br />