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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT _R Y J'v1 A- N Co N STf2-U CT I () 1---1. J N C <br />ADDRESS 373::2..5'" ST, QT, .r'-f u!r=::S'T, LEPH-Yf2..HIL\..SPHONE8'J'3-78'.:L-Og.;lS'" <br />OWNER 8/ B LE I'll S S IoN A.R-, CH-u I2...c.H ' <br /> <br />JOB LOCATION S"{):J-/ ).317-1) $.. ZEP~'lR-J+ILI. S, FL.- <br /> <br />I ,I , <br />LOT SIZEI37-t.X IC,/-/O AREA SQ,FT,tO-:l-,.lSD S.I=; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D,1~ 13 - 00 <br /> <br />BLOCK SUBDIVISION <br />J-::L0:,-.Jf3(."O/ q(!)1f -sJ. JL.}34, 0 <br />I <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Ins tall <br /> _sign/Temp. _Sign _Hove _Demolish <br />PROPOSED USE: ~Single Family _M/F _1~ of Units ,._M/H <br /> _Commercial _Indust. _Swim" Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />I <br />:2-(, X 4~-/~ <br /> <br />}:LS'I <br /> <br />Square Feet, <br /> <br />, 1 STOr<- 'i Height <br /> <br />& (1) SET ENERGY FORMS,** <br />FORt-IS, * *' <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COPY OF CONTRACT REQUIRED. <br /> <br />rRRM1TS RROUESTED <br /> <br />/ BUILDING <br /> <br />/' ELECTRICAL <br /> <br />v'MECHANICAL <br />1/'/ . <br />_PLUMBING <br /> <br />\ _ 'r /- 0'::- <br />$ ~ 1) ,~U DO <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W,R,E.C, <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.... . <br /> <br />TYPE OF CONSTRUCTION: ~Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR ~R~N <br />IKC, Company' yV\A.N COf,}S~:v..c\-\(J~ l.N~ <br />State Cert. or Regist. i~ (p,C-03>S\~o,... <br />City License Registration # <br />********1,*1,** ** <br /> <br />~a~ . <br /> <br />State Cer . or Regist, # <br />City License Registration 11 !/)"1' <br />************************************ <br /> <br />~ Company. Ck <br />~ State Cert, or Regis , 41 <br />ItJl~ City License Registration <br />****************************************** <br /> <br /> <br /> <br />, PLllMBRR <br /> <br /> <br />~ <br /> <br />MECHANICAL /J,I4wK'~ //<o./J i1,..,t. {,'.<u.e Ilk 7NC. Company <br />/ ,. <br />~ / / / S~ate Cert. or R~gi5t. .iU:LlGO"'/'YJ' <br />Signature'/I. !::.... ~~ C~ty L~cense Reglstrat~on lr "7 Y <br />" ****************************************** <br /> <br />** <br /> <br /> <br />Company <br />State Cert, or Regist, # <br />City 'ense Registrati;Pn 1~ <br /> <br />PTHRR <br /> <br />Signature <br /> <br />PERMIT OFFICER, <br /> <br />APPLICATION APPROVED BY; <br />