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<br />,'> (. <br /> <br />;,t ':.1.:,1,'. <br />APPL'IdATiON FOR PERN'IT <br />CITY' OF ZEPHYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />, : ; ; f.!;', " <br />SrtrJlJ V D;G1J;....~. <br /> <br />/ , <br />/ 7 ~ 3 1V.~y::~.:g;C)/, :",' PHONE <br />OWNER --r/J oS 9~'1II- L"'L. (,/v'::-:.,.-.r6 1€-t"~;oJ {) <br />JOB LOCATION S.:l ~ C- /19.J:::1.. $7";...... ' LOT SIZE <br /> <br />.~ <br /> <br />APPLICANT <br /> <br />$~ 1 ~ 1 ? Y L <br /> <br />'. <br /> <br />, . <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />_Sign/Temp. <br /> <br />----,,:Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />~f~ of lIni ts <br /> <br />,._H/H <br /> <br />_Commercial <br /> <br />--.:-Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />_Restaurant & IIealth.Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATT.ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ** <br />CO/"frlERCIAL: ATTACIl (3) SETS. OF BUILDING PLANS << (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />+BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />/ ( t/j )f!!!- <br /> <br />. Valuation of Total Construction <br /> <br />AHP Service ,. <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuetion of Mechanical Installation <br /> <br /># <br /># <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />.. <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. . <br /> <br />*************************~**************** <br /> <br /> <br />cJ t?f.L) fl\.l. P ~ <br />d <br /> <br />CONTRACTOR SF.CTI~ _t <br />. Company ~ 14 TV () If /) c.-V (!L) ~ <br />State Cert. or Regis t. f/ <2 13. fL.O / 0 q~:s <br />City License Registration ff <br />***********w****************************** <br /> <br /> <br />Signatur <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Hcgist. U <br />City License Registration U <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company . <br />. State Cert. or Regist. a <br />City License Registration U <br />****************************************** <br /> <br />.PLUMBER <br /> <br />Signature <br /> <br />Company <br />St~te Cert. or Regist. 0 <br />City License Registration a <br />****************************************** <br /> <br />?-lECHANTCAL <br /> <br />Signature <br /> <br />'. <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />!~ <br /> <br />APPLICATION APPROVED <br /> <br />PERl-lIT OFFICER. <br />