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<br />APPLICATION FOR PERI-lI.T <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />JOB LOCATION <br /> <br />.::5AAJtJ tl b&iJ:', (10 '-:;-jL/~ <br />J7~ 3 /:;U /~:'v ~~ / <br />5~;J # /I~4U'dJ <br />Jg-7)/o f/g ?'2-L) <br />LEGAL DESCRIPTION: LOT(S) )~ L/ BLOCK/tr;3 SUBDIVISION <br />//::2& ~:2-:1 ~ CJO/O - /,y 300 -00/0 .- ;JC';J2# <br /> <br />PHONE <br /> <br />t:JtJ1"~.sb7-7~~.2:.. <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />'. <br /> <br />OWNER <br /> <br />LOT SIZE~X <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I. D . j~ <br /> <br />WORK PROPOSED:____New Construction ~Addition <br /> <br />~ltel"ation <br /> <br />____Eepair <br /> <br />____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Nove <br /> <br />____Demolish <br /> <br />~M/F <br /> <br />_j~ of Units <br /> <br />,._l'l/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 />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />t/ BUILDING <br />VELECTRICAL <br /> <br />$ <br /> <br />..3 ytfj ~~ <br /> <br />PERMITS REOUESTED <br /> <br />AMP Service <br /> <br />V~luation of Total Construction <br />~Florida Power Corp. <br /> <br />H.R.E.C. <br /> <br />_MECHANICAL <br />~PLUMBING <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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Rcgist. U e <br />City License Registration a <br />************************************ <br /> <br /> <br />Company Cb#~/:I/ <br />State Cert. or Regist. 0 <br />City License Registration ;! <br />****************************************** <br /> <br />- <br />5"d-'7!t/ C!C <br />t70/ 21 0/- / <br />.;J. 0 C:. <br /> <br />Signature <br /> <br />Company 5 ;?!l/aJ...s <br />State Cert. or Regist. a <br />City License Registration <br />****************************************** <br /> <br />1'ft;1~:f"4- <br /> <br />i!~~ //..\ <br /> <br />Company" ~~ <br />State Cert. or hegist. a <br />City License Registration 1 <br />****************************************** <br /> <br />MECHAN1CAL <br /> <br />Signature <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 />. 'LlA1...-l ~ €/!.AA.J- . <br /> <br />PERIUT OFFICER. <br />