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<br />APPLICATIOllil FOR PERl/tIT <br />CI'IY OF ZEPHYRllILLS <br />BUlLDIlIilG DEPARI'KmiT <br /> <br />& ~ /K <br />=::::~ . ;:5fll'/1~'$L,-- <br /> <br />JOB ADDRESS 73 U ( C~"-' II tj{u of <br /> <br />LEGAI. DESCRIPTIOI!iI: I.OT(S) s~. {. <br />..6'1- 7~-d-1 - 3- <br /> <br />man <br /> <br />0lf~ ~ /S"cJ 7-. <br /> <br />PARCEL I. D.' <br /> <br />~StmDIVISION <br />"J- S~e. II C" <br /> <br />WORK PROPOsm:-0ev Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Deaolish <br /> <br />PROPOSED USE: <br /> <br />Single Faaily <br />V~rcial <br /> <br />_KIF <br /> <br />_, of Ufnits ' <br /> <br />_K/H <br /> <br />_Indust. <br /> <br />_Stria. Pool <br /> <br />Other <br /> <br />_Rest:aurant &- Health ~t Approval <br />BUILDIHG SIZE: ~J'!~ ~I ~ (( <br /> <br />Square Feet, <br /> <br />, LfJ-o to <br /> <br />Height <br /> <br />RESIDEIfTIAL : <br />cotttIERCIAL : <br /> <br />ATTACH (2) PLOI' PlANS &- (2) SEIS OF BUIIDING PLAJlS &- (1) SEt' EHERGY FORKS. ** <br />ATTACH. (3) SEIS OF BUILDISG PLAIIS &- (1) SEt' mmRGY FORKS. ** <br />**COPT OF COllilTKACT REQmlUlD. <br /> <br />PElmITS REQUESTED <br /> <br />_BUILDIHG <br /> <br />$ <br /> <br />it>3 600 <br />j <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AIIP Service <br /> <br />___Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUKBIIfG <br /> <br />GAS <br /> <br />/ Block <br /> <br />lIDOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF COHSTRUCTION: <br /> <br />_FraIIe ___Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS:/5/,,,)O FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? L <br />YES NO <br /> <br />****************************************** <br /> <br />BUILDER L <br /> <br /> <br />Signature~ <br /> <br />COlMTRACI'OR SECTION <br /> <br />ELECTRICIAN CO!tPAn CII/Ce,;' Z:t..G'<."!,.ru. G'... <br />'if, - j! j1 7 /) J St:ate Cert. or Regist. I &:OC:::lDc 3 'S"I <br />Sj..JAture II/eJ/<U.f I. /y- Ci.ty License Registration t .:?I <; <br />. **************************************** <br /> <br /> <br />:::~~) JltJQ ~:~oi:~~~:':n t/"~ b,'rt <br /> <br /> <br />********** ****************************** <br /> <br /> <br />KECHAJfICAL~/ _ ~ 7 CO!tPA5Y~ {' ~ I /1r.L <br />, C } ,. ..J P St:ate Cert. or Reg1St. I <br />Signature . ". (, l/ . k1JC ~--- City License Registration I CJl' <br />***************w************************** <br /> <br /> <br />, a - <br />CO!tPMiY l)~u I, r ~ s. ~ i r! <br />State Cert. or Regist. 41 n fl (l/~OI' 0 L- <br />City License Registration I cO 7' '2. <br />****************************************** <br /> <br /> <br />OTHER <br /> <br />CO!tPANY_ <br />St:at€ Cert. or Regist. , <br />City License Registration , <br />*********************~*~****************** <br /> <br />Signature <br /> <br />APPLICAnON APPROVED RY <br /> <br />?1 (J/1o.A-< ~ ~ M!QAJM J <br /> <br />PERKlT OFFICER. <br />