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<br />APPLICATION FOR PERl-1'IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnIENT <br /> <br />APPLICANT ,gEI'2T/2/9;r./~ ~ r/M ;-r,e/) <br /> <br />/-..... <br /> <br />ADDRESS 7;2 y ~ A";ULrl/VD <br />OWNER 1);1' IV'" P- <br />- <br /> <br />JOB LOCATION Sri /"2 ~ <br /> <br />j)(2. <br /> <br />PHONE 7't5 0- 753/ <br /> <br />LOT SIZE 75- X;l () ;)- AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D,~j3.s;-:-a5~y./-SA-o <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:~New Construct.ion ~Addition _Alteration _Repair _Install <br /> _Sign/Temp, _Sign _~love _Demolish <br />PROPOSED USE: ___''_Single Family ~M/F _ij of Units .._N/H <br /> _Commercial _Indust, _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COH1'lERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />-X-BUILDING <br /> <br />$?JZ),~ <br /> <br />Vriluation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-- <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registration 0 <br />****************************************** <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANI CAl. <br /> <br />Signature <br /> <br />OTHER ~)fi M ,,-= <br />Signa tu re , ;;5--;-ZLU"-; ~~~M-- c/ <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />~ * * * * * * * ~ *;, ** * * * -I: * *.~ *,,;:;,~,;,;, ,',;, ,',,~;, *;,": <br />(] A't.h d- . f' -1. ..d1, 'T". . <br /> <br />PERl-lIT OFFICER. <br />