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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />APPLICANT 'hey (\ 0. r dbll' s' <S,', <br />ADDRESS ?J 'b 'I ~ 2> \{ L.A'/ Co. r\ e I' ( C IR.. <br />OWNER ::E>eA nord. 1:)1 \' S .s <br /> <br />JOB LOCATION \/ t' \ ) 0 '3 ~ Gy ()V.{(, <br />LEGAL DESCRIPTION: LOT(S) Lo-t# L/ 'B BLOCK <br />Q - .d, Co- d. J i D - 0 <br /> <br />PHONE I~ '?) - q 'dY ~ <br /> <br />Lot-#~'b <br />LOT SIZE_X <br /> <br />SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />'V"))(7rjf' (SfOY-f' <br /> <br />PARCEL I. D. ~~ <br /> <br />>< Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction ____Addition <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~love <br /> <br />_Demolish <br />"LM/H <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />____i~ of Units <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~ 0 xl.::L, <br /> <br />IWO <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />ABUILDING <br /> <br />PERMTTS REOUESTED <br />$ ;;) 0/5 I 00 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 /> <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 />******fr*f:*.************* * * ft* 1,,~ * fr * ,',~, ,', 1, ,',~,~,~, *~, <br /> <br />. . CONTRACTOR SECTION <br />BUTT,DER ~heJ+ bLl::\n f'Y)J'Y)nnd. Company AC +,' ()Y) A \.~ ~ t\ U r:-' <br />o /) D II /1 ' State Cert. or Regis t, II 'I- _ 065 l <03 <br />Signature ^~ It; N<:t/YY'\JYY'v....:.d City License Regi~tr:ltion i! "lO <br />****************************************** <br /> <br />Si!?"nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registr:ltion i! <br />****************************************** <br /> <br />El .ECTR1 C1 AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration j' <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 0 <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY ~~.~~:~.~....**********'.* <br /> <br />PERr-lIT OFFICER. <br />