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<br />APPLICATION FOR PERN'IT <br />CITY OF ZEPHYRlIILLS <br />BUILDING DEPARTt-1ENT <br /> <br />APPLICANT PO /J/ A / d fetr:e ;., /vl 14,.J <br />ADDRESS .5?S / t:7 /9 Tz>,J $ r; r;.~e J~A/P vii fry" PHONE <br />OWNER /74/f/A I cI r'e Tr-:'r NI A,v t- "ue. <br />JOB LOCATION rre e Il1ttJe V,'llefof' LOT SIZE X <br /> <br />? ~r ~ siIJ '? <br /> <br />" <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. ~~ (l,<-.. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />,A~./~',LV'- ~ ~ <br />PROPOSED: ~w Construction _Addition _Alteration <br /> <br />/ tJ .... c2 G - ~l/ - / () A- <br /> <br />WORK <br /> <br />_Repair <br /> <br />_Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br />'~/F <br /> <br />_~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~ingle Family <br /> <br />_IF of Units <br /> <br />,.~/H <br /> <br />____Commercial <br /> <br />~Indust. <br /> <br />_Swim., Pool <br /> <br />Other <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />_Restaurant & Health'Department Approval <br /> <br />~ "'- X "Yo ,1,.. --1'- --. y'C4A,. f?,rJ- Square Fee t, rftJ <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~eight <br />/ <br />ENERGY FORMS.** <br /> <br />BUILDING SIZE: <br /> <br />_BUILDING <br /> <br />sty ttf rf~ <br /> <br />EERMTTS REQUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_NECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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: FT. <br /> <br />****************************************** <br /> <br />nUTT,DERI7/9,J ~()w~ <!..nvsJ. <br />Signature ~ ~~ <br /> <br />~ONTRACTOR SECTION _) <br />XtvC.. Company /JAM "owe- Ce~$r ;J:tvC <br />State Cert. or ReGist, il (!..8<!....ol'l ~:1..'i" <br />City License Registration iF J :t' <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />ET.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration iF <br />****************************************** <br /> <br />,PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />PTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration iF <br /> <br />APPLICATION APPROVED BY ~;:::~~~::'~:;*'**'*~*"""'*"*' <br /> <br />PEllinT OFFICER. <br />