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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-lENT <br />1-< ;; ,JLJ I L~Y C- O,...:J S'!: <br />APPLICANT MI(. R. A- Y MD A.J r:> '..hl KIt.. L}/-kM <br />, <br /> <br />ADDRESS ~ ~ 7 /7 Q IlJ"J6EL L A-IVJ: z.Efl/VRI/J((hllONE tlf / -.2 /3 i) <br />/ <br />OWNER fvlR., AA'IJ\-1D,Jf> A-. /.(/LL/~A,v\ <br />JOB LOCATION 5 'ir7/ 7 ~12A-;Jbi3'~ LOT SIZE SU X 7U AREA SQ.FT.5/JOV ~ <br />LEGAL DESCRIPTION: LOT(S) . () :5 }l t.> BLOCK SUBDIVISION <br />PARCEL I.D.~F 02 - 2 b -2/ . - DO / L - DC) {) I) 0 -v~ 1-0 <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install <br /> <br />PROPOSED <br /> <br />____Sign/Temp. <br />USE~Single Family <br />____Commercial <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />_Indust, <br /> <br />____Swim.. Pool <br /> <br />, .-X-M/H <br />MjJ 10 f7A- f(ft~...TOthe r <br />ALUMINtAk <br /> <br />~M/F <br /> <br />_iF of Units <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: -EXI Sr1.kJ 6 , <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />com1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOmlS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMTTS REOllF.STED <br /> <br />-X-BUILDING <br />____ELECTRICAL <br /> <br />$ :57D~ <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.- <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />/-1-Lu "t.1/ ""~O the r <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT, e.xt ~lIJVC- <br /> <br />****************************************** <br /> <br /> <br />/,'! <br />it AX ()/') 0, 30 <br /> <br />mnT.DER KEN tt)/ vEY <br />Signature 7..~):j. <br /> <br />. ~ONTRACTOR s <br />top..s. J . Company <br />....., V State Cert. or Regis t. it <br />'A/_ h;f. . City License Regi~U-"tion <br />* * * * * * * * * * * * * * * * * * * * * -/, -/, -/t * -/e * -/, * -1< -/: .:, ,': ,': ;: -/: ,', ;, ,', * <br /> <br />Sio-nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br />********************************~*******~* <br /> <br />F.T.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City Libense Registration 0 <br />****************************************** <br /> <br />MECHAN1CAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration 0 <br /> <br />****************************************** <br /> <br />PERHIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />