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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />APPLICANT K T3' N 4J f Ley, C {).N Sf Jvt A1 J r- I ;V ~ <br />ADDRESS 1;21'f i3D'BOU,vK 's~ CKYS7Al s ?1!;i'CSPIlONE 5Tf/3 -7!12-0~1i <br />OWNER M fi 0'-- M;(I 'j(." L 0 LU F=- <br />6052 PL-c/J. <S~r.J T S r <br />JOB LOCATION tJAK- oS (D E M()t5ILE /ftJM r-== ?1J)J:tOT SIZE X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.1F (};l-~-~'m ~-f) #: <br />MvBrLf3, Me: ~oo uuG~ <br /> <br />WORK PROPOSED:____New Construction ~Addition <br /> <br />CArf{ 7b ~T; U'/f L; '7 '5 /.f C i-;J <br />____Alteration _Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <br /> <br />____iF of Uni ts <br /> <br />, ,-X::l'1/ H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'1S.** <br />COM1'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORHS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~LDING <br />~ECTRICAL <br />~CHANICAL <br />~/~ill1BING <br />TYPE OF CONSTRUCTION: <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-i.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.- <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Block <br /> <br />_Steel <br /> <br />ALUM I JJ~~ther <br /> <br />FINISHED FLOOR <br /> <br />-X...Frame <br />$(/6- r> <br />ELEVATIONS: T% F~.. I /' <br />,~ SlrN b <br /> <br />*********~******************************** <br /> <br /> <br />....,CONTRACTOR ;;ECTION ___ r--' <br />Ail .(}<::., Company t(P.-Ai W1LPl Ci: A'> I MletlV) (tV ~ <br />State Cert. or Regist, !I X6bs'7'6 0'<. DOS-~/Y- <br />, City License Reglsu'atinn ;/ (.,9 0'... "'? :;:{~ <br />*********************************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License ReGistration 0 <br />****************************************** <br /> <br /> <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 0 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br /> <br />Signature <br /> <br />~/;4~ <br /> <br />Company <br />State Cert. or Regis t. ii' <br />City License Registration ~ <br /> <br />OTHER <br /> <br />****************************************** <br />. <br /> <br />PERl'lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />