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<br />APPLICATION FOR PER1'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPART!'1ENT <br /> <br />APPLICANT i/;N;i~f/l& h(~. . . . . ... . <br />ADDRESS ~q'5fl!;t/'fh':./J41. /~PIlONE ?r?-.?,q-3~$/ <br />OWNER 11. :t2~-=--- -141- ~ p ;j. dfl /d~/r/ a ~I /C- <br /> <br />Jon LOCATION 5'~rZ/ &ACL-. t3~, LOT SIZE X <br /> <br />LECAL DESCRIPTION: LOT(S)1" I~,~ /.f B~~ SUBDIVISION <br />PARCEL LuOtl-I'1I? _ {/ t:1,r ~~vn:/~j" <br />. I . <br /> <br />AREA SQ. FT. <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair ~Install <br /> <br />_Sign/Temp. <br /> <br />..x..Sign <br />~/F <br /> <br />____~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_t~ of Units <br /> <br />, .____M / H <br /> <br />,X..... Comme rc ial <br /> <br />_Indust. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM1'lERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI-IS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />EF.RMTTS REOUESTED <br /> <br />~BUILDING <br /> <br />$ 7s~C:> <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 <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SF.CTI~ . (1 <br />. Company _ _~~_~.u.X <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />******************************** <br /> <br />SQ/'vJk--..JJ <br />:1f. ~ ('rb <br /> <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration 0 <br />*************************************** <br /> <br />~~~0 -- <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br />****************************************** <br /> <br />PUTMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />)1d~h~ _VieAAM- .. <br /> <br />PERI-lIT OFFICER. <br />