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<br />APPLICATION FOR PEIDIIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnmNT <br /> <br />APPLICANT atQt.N\ CrM~~ ~tA~n;~!~'~ <br />ADDRESS ~lO~ <r;)~~Jbrf i2-1 ;f.,.a~'/. <br /> <br />OWNER ~ 0 f.k (1' tlM..L b <br />JOB LOCATION S S- (I to afk~ . <br /> <br />LEGAL DESCRIPTION: LOT (S)..J,J 'fI-.J).... <br />l' ~ - LYec511 <br /> <br />PHONE &1./ 7- is&, I <br /> <br />~. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <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. _Sign ____Hove ____Demolish <br />PROPOSED USE: ~Single Family ...:...-M I F -~~ of Units ,._M/~ <br /> _Commercial _Indust. _Swim. Pool ~. <br /> <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~ILDING <br /> <br />$ 137S'~ <br /> <br />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 Vl~ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />/l Ll /J-r- CONTRACTOR SECTION <br />BlnLDER (J/Lh1 Cc/)'ftY1L/l)OAI,j</JfJ./1./LlI~ -::z;::;;., t' Company <br />~ r/Ut1.4A. 2!;:::- State Cert. or Rcgist. iF t!/$I'/JI../(Jfa?fo <br />Signature ~,.A '// /y-;,:; .. ' City License Regi~tration iF <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration U <br />****************************************** <br /> <br />,PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration U <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />** <br /> <br /> <br />PERl'lIT OFFICER. <br /> <br />APPLXGATION APPROVED BY <br />