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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />APPLICANT c:J1.tA/1 C/I.4MJA ~1i;;;f!17L4.u? <br />~gO(g/()I?/2A/1~~/~ ~ ';t~Ad <br />~fJ~f .. <br />SilL/ aOf/-, .JJ- <br /> <br />PHONE (aLl 7-) S-(o I <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_____~ AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK... <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~f <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~;pair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____iff of Uni ts <br /> <br />.____1'1/ H <br /> <br />____Commercial <br /> <br />____Indust. <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 FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ,',* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />c--13UILDING <br /> <br />$ fl LlOO CrC/ _ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_'....R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Yaluation of Mechanical Installation <br /> <br />____PLlmBING GAS <br /> <br />__ROOFING <br /> <br />%~;;TtJlJ?-'4<UL~ <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER ~~ ~~.;t~'f_:;>NTR~~;~=n~ECTIadd/]~ ?~ I <br /> <br />State Cert. or Regist. ~612'O~ <br />Signature L'.. c: co. City License Registration iF J... 9,-/ <br />**************************************~*** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />***************************************~** <br /> <br />Si!?'nature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAl <br /> <br />Company <br />State Cert. or Regist. f <br />City License Registration :, <br /> <br />Signature <br /> <br />**********************************~**~**** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*........*.... ~ J.** *21* ****J.** **~. J..* ~,",.1.. "',oJ.. j..~,.. J...J.. ~'...J.. ~'.. ~........ oJ.. -'.. ~'.. <br /> <br />71~Ai^ _ a/1~~"d'''''_'' <br /> <br />PERmT OFFICER. <br />