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<br />APPLICATION FOR PERtlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />&. LI S1&VC-, I....... Co~S~~ <br />ADDRESS :S7'74-fo ~e-S f.A:vJ1G- PHONE 7?Sc-Q y lf~ <br />OWNER C~L&S'" P16N'T/---6-f <br />JOB LOCATION~ SlwmoA11 <,.Dn...., LOT SIZE 65" X llo <br />LEGAL DESCRIPTION: LOT(S) lob -A- BLOCK <br />;S-LCO- '2[- i 2. - 0- 10 ~-> <br /> <br />AR.EA SQ. FT. 7fj:Jo <br /><5 f UUr5{l OilK''S <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~t <br /> <br />WORK PROPOSED:~New Constru~tion ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_!'love ____DemQlish <br /> <br />..:.--M / F <br /> <br />____~t of Units ,._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim.. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: 5'"0 X 68 , <br /> <br />_Restaurant & Health Department Approval <br /> <br />24BS- <br /> <br />Square Feet, <br /> <br />B LoLl' <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 & (l) SET ENERGY FORI-IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />l'F.RMTTS REOUESTED <br /> <br />XBUILDING $ 15; OCO.~o Valuation of Total Construction <br /> <br />~ELECTRICAL ZOO AMP Service rc Florida Power Corp. _W.R.E.C. <br /> <br />~ MECHANICAL $ ~~(X)l~ Valuation of Mechanical Installation <br /> <br />-ff-PLUMBING ..... GAS ROOFING SPECIALTY <br /> <br /> <br />TYPE OF CONSTRUCTION: ~Block ~Frame ____Steel Other <br /> <br />FINISHED FLOOR ELEVATIONS: '7() FT. <br /> <br />******.**~******************************** <br /> <br /> <br />CONTRACTOR S <br />Company <br />State Cert. or Recist. D <br />City License Registration <br />****************************************** <br /> <br /> <br />Thu <br /> <br />:T:=:~~Cf=.) Company 7--\-\,u-<; ELC,-, ~,~ <br />. State Cert. or Regist. ~I ~o ~ 'J...i l.J:- <br /> <br />~. 0 _ ..... *...............~~;~.; ~;:~:: .~;.~ ~~; ~~; ~~~ " l <l <br /> <br />Signature <br /> <br />. Company' ClIft's 13A.-flJ( -#tL~~'j)h <br /> <br />~ _ _~ 5J. "3,~ State Cert. or Regist." K-" 00 1- - <br />'A/2. . (: 'Z VOl City License Registration II ~ 7 <br />. ****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL Company 4;1H~ '.5 ~O~A~L GAS L Jf/<' fA./e. <br />-V./ ~ State Cert. or Regist. if CA CD VJ"7 ~4> <br />Signature .."L-- z.d. . City License Registration j~ 7~ <br />~ ****************************************** <br /> <br />-, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration D <br /> <br />pTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~********~************************* <br />// Art ..P.A. (f t7.AA"J"'l.-.t"'-.. <br /> <br />PERl'lIT OFFICER. <br />