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<br />APPLICATION FOR PERN'IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~e gU/~A' 1.;,::z:;;;C. <br />~ . ,/..' <br />ADDRESS 707 7Mc:r ~L. h{,.~;.;~'. tJy{./ ..../7?'..?-3~ifpI10NE <br />/ ~ r <br /> <br />OWNER (/a./.#1<"!' d p-e' .L/c?/& /0 Ve4' A- <br />I' <br />JOB LOCATION3.99'.r3/ '?:~~C{l/1? Atve <br /> <br />" <br /> <br />I" ( " <br />LOT SIZE '7 s'" X /20 AREA <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />33 <br /> <br />BLOCK <br /> <br />SUBDIVIS ION ~ /A C.O,~ <br /> <br />SQ. FT . ?eft)(!) <br />,/4/"1; /ttI _(4~ <br />/ <br /> <br />PARCEL I.D.~t <br />WORK PROPOSED: ~w Construction ~Addition ____Alteration ____Repair ____Install <br /> <br /> ____Sign/Temp. ____Sign _Hove ____Demolish <br />PROPOSED USE: ~Single Family ~M/F _ft of Units . .____1'1 I H <br /> ____Commercial _Indust. ____Swim. Pool Other <br /> ____Restaurant & Health Department Approval <br /> j.r" .r' /33~ i? / <br />BUILDING SIZE: ..2;7 ~ X 5?) , Square Fee t, Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />:pERMTTS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />, ..' <br /> <br />____ELECTRICAL <br /> <br />AMP service' <br /> <br />....-Florida Power Corp, <br /> <br />_W,R.E,C. <br /> <br />____1'1ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br />v;;:,ck <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />0'" <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />~ONTRACTOR ::;ECTI~ ~ J / I"'/' <br />. Company / ct'~ e.. Lf V1 /;1 dRg ,;.LA C. <br />State Cert, or Regist. 0 <br />. City License Regi~tration it ...3.2~ <br />*************************************** <br /> <br />, PLUMBER A, C <br />Signature (~ <br /> <br />p/v... (.,,,; Company .. ~..C. ,,1- ./10/ ' <br />,/~/) '--- State Cert. or Regist. !' .. RF'" "" J7&-'7'1 <br />i~- City License Registration iF 1"27 <br />****************************************** <br /> <br />MECHANTCAlr(-,~. ~::I.- Company EC&fD ~7f>.. V' ~ <br />/ State Cert. or Regist. U ' <br />Signature City License Registration 11 / r; b <br />****************************************** <br /> <br />Company' ~4k/ E~(c. (/n <br />State Cert. or Eet0.st, it- <br />City License Registration it :l:J...Lf <br />********************************* <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br /> <br />DTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />**~~***********r************************** <br /> <br />l~dJtJ1'~'2l Ob'''^Y . <br /> <br />PERl-lIT OFFICER. <br />