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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />ROSclfT L. }/aw/JIrD <br />/201 N, GLEN AI/e) fJ9mpl9/ pL 'S'3cc7 PHONE (g/3) '874-3493 <br />J"ESSr:. HilL L <br />JOB LOCATION '37/ 2 r coX JtJUN Ol YJCG <br />'" r ( ~ 0. t::I LOT SIZE_=-<- AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT(S) '3'1 +tbflTi~^,OF-lfoCK SUBDIVISIONS/l.VE:~ /!)~JrrS 1'//)15'1: olJf: <br />PARCEL 1.D.# 03 - 2' - 21- 0/20 - 00000 - 0390 <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />WORK PROPOSED:_New Construction ____Addition ____Alteration _Repair ~Install <br /> <br />. _Sign/Temp. <br /> <br />____Sign <br /> <br />_Neve ____Demolish <br /> <br />____Commercial <br /> <br />____Indust, <br /> <br />____IF of lTni ts _____!-l/H <br />____Swim. Pool 4Cf- SbLJ9~ Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <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 FOR~S,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />/BUILDING <br /> <br />$ ,;) t:TL.JD - ~ Valuation of Total Construction <br />/ <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 />ROC::"Ii,7(; <br /> <br />>< <br /> <br />SPECIALTY (fooL SOLA0 <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />( -=;;;/ --If. ~ 17 CONTRACTOR SECTION <br />BUILDE;~;' ~ - ~ J( Company <br />State Cert. or Regist. # <br />Signature City License Registration!fr ~ <P-/ <br />****************************************** <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />********************************~~****~*** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. f <br />City License Registration ,f <br /> <br />MECHANICAT, <br /> <br />Signature <br /> <br />****************************************** <br /> <br />OTHE~ SOLi'll(! €.NeRG~CrOI(' Company /NDIV/IJVlJl.., , <br />~ StateCert. or Regist. 4'~0C5S'02~9 <br />Signatur. City License Registration . ~- g-.I <br /> <br />APPLICATION APPROVED BY <br /> <br />~*J. J. J. J_* * * *... *~** * J. * * * J, J. * *..~ "',_ ,.,_ J. J. J. ~'. ~'. J. ~l. J. ,.'. ,.'. ,.'. oJ. ~'. .'. <br />.... _ n _' _ ...... _.,.... .. .n..'.. .. .... .. .. .. ...... .. .. .. .. <br /> <br />, t1AvO ~ O--i ./hY <br /> <br />PER~lIT OFFICER. <br />