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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTMENT <br /> <br />. '{~ <br /> <br />;).;A~ e/~' <br />~~^~DRESS 39/1/ P/1rlh~ J&{ . ?EjJl1veh~I/1s <br />LJbn l4'/d~..' lce;l 'J <br />Jon LOCATI0rt51~~ :/h-:/lJ S~ <br />LEGAL DEscRIP'fi6~;3 iT (s) BLOCK <br /> <br />APPLICANT <br /> <br />PHONE ' 18t, 3>3/C( <br /> <br />OHNER <br /> <br />'. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I.D.t~ <br /> <br />l ,-'-~ -21- <br /> <br />SUBDIVISION <br />DOlO -, \ ~~OO- CJO~ '0 <br /> <br />\-IORK PROPOSED:_Ne\.J Construct.ion _Addition _Altera.tion _'Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim., Pool <br /> <br />~ <br /> <br />.__H/lI <br />OCOther <br /> <br />_H/F <br /> <br />_t~ of Units <br /> <br />_Restaurant & Health Department Approval <br /> <br />nUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COmlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS << (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS << (1) SET ENERGY FORNS.*'" <br />**COPY OF CONTRACT REQUIRED. <br /> <br />J2.Elli1llS.-RE QUE S T ED <br /> <br />_BUILDING <br /> <br />s Z8~7 ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP Service <br />$ Z-fSSCj~ <br /> <br />Florida Power Corp. <br /> <br />_W,R.E.C. <br /> <br />_MECHANICAL <br /> <br />Valuation of Hechanical Installation <br /> <br />_PLU?1BING <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: PT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************~* <br /> <br />BUILDER <br /> <br />'~ <br /> <br />:~::::::~~~ Compuny ~ 79 e3{a;1 <br />~:- - ~ Mu- to---- ~ :~~\~~~~~e O;e~~;~~ ~;. i~n II> t!J S <,t <br /> <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration 11 <br />****************************************** <br /> <br />"F.CH~NTCA~ ~ Company p~ (::; lft-, <br />. /' ~ r;.:.-- State Cert. or Regist. t~ <br />Signature, - _ '4 _ __/I :'''HH**********;:~~.;:~:~~:'~:~:~;~~;:~~'~ /.),:1:'> <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. II <br />City License Registration lj <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />