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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-lENT <br /> <br />ADDRESS <br /> <br />;?~lMtA. ~. J/j~, -' /-I.-"il <br /> <br />/'2/9 ..#41'~h7 ~, <br />OWNER ~.AM.L. <br />. <br /> <br />Jon LOCATION L.~/1 &yji-""'YSlf ~~i&&. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~,~-~~~~. <br /> <br />APPLICANT <br /> <br />PHONE :Yo' .fIB "7f2.-~2..76 <br /> <br />LOT SIZE -'IS' X 7t/J <br /> <br />AREA SQ. FT. ~ 714 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D, if <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~!:ove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />...:..-M/F <br /> <br />____t~ of Uni ts <br /> <br />, .-t:-M/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 />~t X IV , <br /> <br />7!i <br /> <br />Square Fee t I <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COilllERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS,H <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOUESTED <br /> <br />.--LBUILDING <br /> <br />$ <br /> <br />/' <br />IS, 2'11 <br />, <br /> <br />V~luation of Total Construction <br /> <br />V ELECTRICAL <br />..L-MECHANICAL <br />/PLUMBING <br /> <br />.bIJ <br /> <br />AMP Service <br /> <br />~ Florida Power Corp. <br /> <br />_H,R,E.C. <br /> <br />$.,f4o&~~ ~ Q)~ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />/)1,,0 ~<"'-O the r <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT, r-;) <br />, ~EAC-A ceJ71W r: <br /> <br />****************************************** <br /> <br />,I CONTRACTOR SECTION <br />BlITLDER}J~ ~f/nMM ~, Company S~ <br />7/J .. ./ State Cert. or Regis t. II ,:35'''- <br />SignatureV' F t..,.' ,L~ . City License Ref'.';;Cr"r;"n " <br />'* * * * * * '* '* * '" * * * * * * * ,.. * * ,.. '" * ie ie ie * ie '" -Ie ie ~e i, ,', ,', ,', " i, .:, i, ,', * <br /> <br />::::::::~.~ ;fr-~ c~:~:n~e,~.e;~:~gist. .i! <br /> <br />__~______~~~ ccc:-_ ~ ~~. l.1.cense Re[',~str<:ltlon I! <br />......~...............*.****.*.**.*' <br /> <br /> <br />Company 5.... - <br />State Cert. or Regis t. !,f /tJF <br />City License Registr<:ltion n <br />****************************************** <br /> <br />MECHANICAL.6aiM ~a,M.(...$~ ";k.- Z' Company a~. <br />~ 0 .~~ State Cert, or Regist. i.f <br />Signature . ~ 1&~~' ~......., City License Registration iF <br />*. .......,....................*.***.*.*** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />***"'*******************~****************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERNIT OFFICER, <br />