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<br />APPLICATION FOR PERl-lIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTI'1ENT
<br />
<br />APPLICANT
<br />
<br />a-:L, SJE\.IE
<br />ADDRESS '3'17 Lfb 0CMGS" ....... L-A-tJE
<br />OWNER _R.\ F CI1{L\S Tu+rv~eN
<br />JOB LOCATION b~5c 1~"NG\1)tJ Die..
<br />q[
<br />
<br />... '(o""\S'T~c..)C nO/'--f
<br />PHONE 7~ ;>-9 Cf 47
<br />
<br />'.
<br />
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />x no AREA SQ, FT, 8LfoD
<br />-S I L \.l tS (L ufl-\L<;
<br />
<br />L'OT SIZE ,0
<br />
<br />PARCEL 1. D. ~t
<br />WORK PROPOSED:~New Construction ~Addition _Alteration ____Repair _Install
<br />
<br />_Sign/Temp,
<br />PROPOSED USE: ~Single Family
<br />
<br />_Sign
<br />
<br />_Hove
<br />
<br />_Demolish
<br />
<br />....:..--M/F
<br />
<br />_~t of Uni ts
<br />
<br />,._M/H
<br />
<br />_Commercial
<br />
<br />_Indust.
<br />
<br />_Swim. Pool
<br />
<br />Other
<br />
<br />_Restaurant & Health Department Approval
<br />
<br />BUILDING SIZE: Z;:~!-bi-l xbl'-q ~
<br />
<br />Z2Lj~
<br />
<br />Square Feet,
<br />
<br />B I C6-\UN.b
<br />
<br />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 FORl'1S.**
<br />**COPY OF CONTRACT REQUIRED.
<br />
<br />~BUILDING
<br />2:f-ELECTRICAL
<br />~MECHANICAL
<br />~PLUMBING
<br />
<br />pERMTTS REOUESTED
<br />
<br />$ lCO oec ~ Valuation of Total Construction
<br />(
<br />~) AMP Service' Florida Power Corp.
<br />
<br />_H,R,E,C,
<br />
<br />$
<br />
<br />Valuation of Mechanical Installation
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />.... .
<br />
<br />TYPE OF CONSTRUCTION: _Block _Frame _Steel
<br />FINISHED FLOOR ELEVATIONS:~.~FT.
<br />
<br />Other
<br />
<br />******************************************
<br />
<br />
<br />CONTRACTOR SECTION
<br />
<br />. Company '6 f--( ~ TB-I~ ~s~f7 W
<br />
<br />State Cert. or Regist. iF C~LO L-cl 39
<br />
<br />City License Registration iF * let
<br />***********************{,*{,*{,* ** ,'r it ,', -:,;, ,',i, ,', i, ,',;. .
<br />
<br />Company ~"2 '" \\ \U-. '" LL. (c',- S'e(lv.
<br />State Cert. or Regist. iF C>~:.O j.,U...8-
<br />City License Registr;J.tion iF LO
<br />******************************************
<br />
<br />Signature
<br />
<br />JI. ()' f3!t 1-/: ~~. ," '/
<br />. Company .,~ L /':'/5' l, ./.. II;,' 1./ ,
<br />(1 j :-,}) 6. }/7 State Cert. or Regist." J - (?O~i,,~;'
<br />/{ { /J nyL/ t>, '_ '/(.. . City License Rcgistr;J.tion it (r:;7
<br />. ******************************************
<br />
<br />.PLUMRER
<br />
<br />MECHANICAL /:?,4tf~/S
<br />Signature ~~
<br />
<br />~/?o,"'''-../~ 6,y,S .(L/f/c. Company ~ Alf~5
<br />. I ./ ./ State Cert. or Regis t. ii
<br />~ ~~~L----- . City License Registration
<br />/
<br />?/ ******************************************
<br />
<br />CA Co -5f'1 Y ,,3
<br />II P
<br />.(
<br />
<br />OTHER
<br />
<br />Signature
<br />
<br />Company
<br />State Cert, or Regist. 0
<br />City License Registration 0
<br />
<br />APPLICATION APPROVED
<br />
<br />******************************************
<br />
<br />BY /1'''1 9ij ~ArW .
<br />
<br />PERl-lIT OFFICER,
<br />
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