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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT pM Cr:R. " c r; ^( <br />ADDRESS ]~Ot. 7) I R..," # /? !}i- Vn T qN\t?1'+ <br /> <br />F~- <br /> <br />PHONE' (6 z-. 6" ~ 20 IJO <br /> <br />OWNER r:p fi-D r;;;~ I' t. IT: t. 5/'-1 I~T Jj <br />/ <br />JOB LOCATION ~). 'L s-: / 7!fY .5"7 LOT SIZE X <br />LEGAL DESCRIPTION: LOT (S) ) v'- Z BLOCK J'16 SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />PARCEL 1. D. i~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install <br /> <br />PROPOSED USE: <br /> <br />____Sign/Temp. <br /> <br />...._--~ <br />~gle Famil~ <br />_.~ <br />____Commercial <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____t~ of Uni ts <br /> <br />.____M I H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <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 FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />pERM1TS REOUESTED <br /> <br />V;UILDING <br /> <br />t--- <br />$ d/31}~ <br />/ <br /> <br />valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.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 />.... . <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration" <br />****************************************** <br /> <br />nUTT.DER <br /> <br />Signature <br /> <br />Sianature <br /> <br />Company <br />State Cert. or Regist. " <br />City License Registration n <br />****************************************** <br /> <br />f,T.ECTR1C1AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PUlMRF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF~CfjCr:J LJ- 5S 9cJ6 <br />City License Registration " <br />****************************************** <br /> <br />~ <br /> <br />MECHANICA1. <br /> <br />L1. . J::) .' a <br />Company /TM E3R/ Crt- f... I .)13/'--7 (; 7) ELI N "li. <br />State Cert. or Regist. 0 <br />City License Registration iF ~7?7' <br /> <br />pTHER <br />Signature {VM- rodr?~ <br /> <br />APPLICATION APPROVED BY <br /> <br />***********~*************************** <br />;t/ /2 ..M..<'~ -R-14'\ -'}-. ,- <br /> <br />PERMIT OFFICER. <br />