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<br />. . <br /> <br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT -~P)'t, U nl H:=::c:n !2 U 4' CEJn ~ 1'1/- I ne <br />'II/'Ll C J ---, \ - i ).,\ 'J ), II rf <br />ADDRESS J..L.J (Ll ".Jt:?Uc.tfC' _ ,}t J) T"CLK'::;0l E' / " { <br />ow~m~-T/u.j~~ ?~\ n L~ t. n \ n e... , <br /> <br />,;OR LOCATION < ~~cr~ 4 ~- ({)'i-t-, (11~ F / <br /> <br />PHONE Ctc 4 - -; (70 - "'~-r''2 ~ <br /> <br />- <br /> <br />LOT SIZE<IDIJx x7 <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_j~ of Units <br /> <br />_N/H <br /> <br />_Commercial <br /> <br />_lndust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_..L-BUILDING <br /> <br />$ <br /> <br />/ Lice cO <br /> <br />. I <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.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 <br /> <br />_Frame _Steel Q.Ef'(\en+ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Cowpany <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />F.T.ECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ff <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br /> <br />company-p;..i H If\iy:,efl)'L_{ tf 0f.[Qe\\1 'nc- ' <br />State Cert. or Regist. IF__SZ 3>( <br />City License Registration # <br /> <br />* * * * ~*_*,.~.!;; **)*'*.~ ,? *..~,* * * * **,* f*~} :.,.-k*~~~* * * * *** * <br />(", "'. . ;l~;<.o:: ' /<.):f[ , --t ~-u;Ji' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERI-IlT OFFICER. <br />