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<br />APPLICANT <br /> <br />JG <br />. l>7. <br />1, L\ <br />/.\ , <br />r ' - <br />.."1 l":v <br />,~ ~. <br />I fl.): <br /> <br />APPLICATION FOR PEilllIT <br />CITY OF ZEPHYRHILLs <br />DUILDING DEPARn-1ENT <br /> <br />OWNER <br /> <br />;/65~3 <br />~.~ <br /> <br />JOB LOCATION c;;;.-~ <br /> <br /> <br />I <br /> <br />PHONE <br /> <br />%. 7J~2~727-6 <br /> <br />ADDRESS <br /> <br />LOT SlZE~X <br /> <br />/ &-Z)M~EA SQ. FT. 6t'JiL-o <br />f (l~'["'d'~'c" <J E~ 777~ <br />/ <br /> <br />LEGAL DESCRIPTION: LOT(S) (}9 <br />/4-;16 .--;2/- <br /> <br />BLOCK SUBDIVISION <br />tJCl (.0- (1 t!' (I- 00 ,- 0(5 y, G" <br /> <br />PARCEL I. D. ~~ <br /> <br />____Addition ____Alterntion ____Repair ____Install <br />/J/cJ ^/~1c.: Re/t~em(?xr;- <br />____Sign . ,I"'--'F'C"/' _Hove ____Demolish <br /> <br />WORK PROPOSED:____New Construction <br /> <br />_Sign/Temp, <br />PROPOSED USE: ~Sing1e Family <br /> <br />____M/F <br /> <br />____i~ of Uni ts <br /> <br />!--'fi.'! H <br />,.- <br /> <br />____Commercial <br /> <br />____Indust, <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />RESIDENTIAL: <br />COM1'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'1S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fOR~1S. -i"/' <br />**COPY OF CONTRACT REQUIRED. <br /> <br />t5; 7;}- <br /> <br />Square feet, <br /> <br />Height <br /> <br />BUILDING SIZE: 56 X /,;}- , <br /> <br />}?F,RMTTS REOUESTED <br /> <br />VBUILDING <br />LELECTRICAL <br /> <br />L">>C" <br />$ 6~-:;-CJc.)-- valuation of Total Construction <br /> <br />/~! AMP Service t~ Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />vPLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-- <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame ____Steel <br /> <br />/17 i), JlVin"f..-. Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />.cONTRACTOR 0J:Z~ - h j/~ <br />'L<.:./ Company ." .~~~L-L- "tV, IV< :L/' <br />State Cert. or Regist. 0 <br />. City License Regi.~tTatinn a ..3S6 <br />****************************************** <br /> <br /> <br /> <br />,-- <br />J Jc.. c'-ec<<- <br /> <br />Company c?...A!. ~ .U<, z..~-<,?;;:.-<- <br />State Cert. oaegist. ii <br />City License Registration n (~7 <br />u ' <br />*************************************-i~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />~ City License Registration ii <br />***************************************** <br /> <br /> <br />/ZJY- <br /> <br />Signature <br /> <br />/L M-- <br />b/n ~';i.Y <br />/ L/. State Cert. or Regist, j,t <br />City License Registration 0 <br />****************************************** <br /> <br />MECHAN1CAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />APPLIC~TION APPROVED BY <br /> <br /> <br />PER~IIT OFFICER. <br />