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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Ulc- t\tJS~, '6J ,,,PuJ ~.~1-I'Jl.c.--rO fL <br />ADDRESS r ;fb-J-}:tr. A-iG:, P</oJ1C-1'V1 rf <br />OHNER ~ < &c. .. <br />JOB LO~A T10~ t, q ,,-/rl ~,/; (<;6JhJ.' <br /> <br />PHONE <br /> <br />~. (gr3) 9gt:,'-/'7ftJ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT. <br /> <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D .1~ 2.... U'" 2/ <br />HORK PROPOSED:____New construction ~Addition <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />K-Alter8.tion <br /> <br />____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />Acommercial <br /> <br />~M/F <br /> <br />____~~ of lIni 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 />~tf X 5""0 , <br /> <br />/7(J () <br /> <br />Square Feet, <br /> <br />8' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMHERCIAL : <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 fORHS.H: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />URMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />vriluation 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 />. <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />_Frame _Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />*********~******************************** <br /> <br />~ONTRACTOR ~ECTI0N <br />, Company ERI(!Ibf!!fib~1e1b~ <br />State Cert. or Regi t. iF 'Z'TiJfn <br />. Ci ty License Regi~ tra t ion a .k3 <br />****************************************** <br /> <br />-= <br /> <br /> <br />:i::::::U '^~ <br /> <br />- <br /> <br />Company <br />__~ - State Cert. or Hegis t. I~ <br />\".. ~ City License Registr::ltion 1/ <br />- * .........................,.*'*****"" <br /> <br />&"1 <br /> <br />=: <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br />****************************************** <br /> <br />nJJMBER <br /> <br />Signature <br /> <br /> <br />Company 1..-/ <br />Stqt~ Cert. or Regist. 0_ <br />City License Registration 0 <br />**************************************** <br /> <br /> <br />. <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration iF <br /> <br />QTHER <br /> <br />Signature <br /> <br />BY 4!;;~5E';;'*~;:~'**-"""'*"'*" , <br /> <br />PERHIT OFFICER. <br /> <br />! <br /> <br />APPLICATION APPROVED <br />