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<br />'. . <br /> <br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />CLARENCE PAPINEAU <br />5114 20TH STREET <br /> <br />PHONE <br /> <br />780-6210 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />SAME AS ABOVE <br /> <br />JOB LOCATION SAME AS ABOVE <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) 0060 <br />PARCEL I.D.# 512 T26 R21 <br /> <br />BLOCK 00100SUBDIVISION PINECREST <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />_Sign/Temp. ____Sign ____Nove _Demolish <br />PROPOSED USE: ~Single Family _M/F ~# of Uni ts ,_N/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />~ <br />! <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUtLDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.*~: <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />~ME~HANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />$ 3,489.00 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si~nature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. j~ <br />City License Registration 1 <br />**********************ft******************* <br /> <br />PUJMBER <br /> <br />MF.C~ ~ Company SUNCQAST SERVICE CENTER. INC. <br />1/ ~ ,L?' State Cert. or Regist. # RM0030862 <br />Signatur f/lrktfl b ,....?.. City License Registration l~ <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br /> <br />c5if$,..~~;;:tt**... <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />