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<br />APPLICATION FOR PER.NIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT /{f3: ~~lc:: ~ /!,{IpSr;~f4lNT /~k , <br />ADDRESS {::L/_ 15 __0 L/I.., !5r)x;:?,tJ7 (7i'pJIl ');J?ii~,s <br />)J 12 I<()J.JAL/~' Lu I (! t:=AJ7 <br />JOB LOCATION 1,/04-- CIf[3 f(/{! S"7 t;JAl<5lnE M!o/jlOT SIZE <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL U.C..(1:4X EILL) 2V~70 -/2-/ ACeI f(-Oooz'l-u'll <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~In5tall <br /> <br />7 Y2-o 5"f6 <br /> <br />" <br /> <br />OWNER <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~gle Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim" Poo 1 <br /> <br />M/H <br />AI1IftJ ~o;J;;;;~ <br /> <br />~/F <br /> <br />____~~ of Uni ts <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~x.2i:-, ftiJ&lL.€ /f(JMIE- Square Feet, <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COPY OF CONTRACT REQUIRED. <br /> <br />{ (2~.tf <br /> <br />& (1) SET <br />FORMS. ,H <br /> <br />. ('5/ Height) <br /> <br />ENERGY FORMS.** <br /> <br />pERMITS REOUESTED <br /> <br />--L,L:BUILDING <br /> <br />$5 I cr;;{2 n.Q <br /> <br />valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp, <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />. <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 />1/ . S:;ONTRACTOR SECTTON ,- . '" } <br />PIlTl.JlF.R r\ r= ,( J WILE ~ . Company /<€/:) WI ( ~ y ('(~1fS>~/~~1Vc. <br />p?/ '"" A ) /J~ State Cert. or Regist', { /tX ~I"> ~9'6-z.o <br />Signature -~, ~ ,!t/i ~ ' City License Registration ii 69' <br />. <br />*** ***. ********* * ***'ic *'ic* ** * * * ,/, 'i, ,', ,', ,/,,/,,', ,/, ,', * <br /> <br />Company <br />) State Cert. or Regist. i~ <br />Jj /r-- City License Registration ii <br />/~**'************************************** <br /> <br />****************************************** <br /> <br />:::TRT CTAN <br />ature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />* City License Registration ;f <br />~**~~********************************* <br /> <br /> <br />".__ Company <br />State Cert. or Regist, # <br /> <br />~;;{ , City License Registration iF <br />R? ~************** *'ic*** *,/, * ,', * ** * '~~*~:~' <br /> <br /> <br />Company <br />FA_State Cert. or Regist, i~ <br />A/,/~' City License Registration ;J <br /> <br />.PLUMBER <br /> <br />signature <br /> <br />MECHAN1CAT. <br /> <br />Signature <br /> <br />PTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~********~************************** <br />t1AA...t\I LC1 --.P /1 AJ'h ') . <br /> <br />PEP.MIT OFFICER. <br />