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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLl CANT. ~ ~ M I\~ Co I\J !;;i+'V",,<:+1o N Co . -::s:. f',) Co. _ <br /> <br />ADDRESS 313d-5 S,,? Sq ~ ,uphyahlUs PHONE~\~' lB2--0BAS- <br /> <br />OWNER 'PAu.J ~A~~ln.- Sml+h <br /> <br />JOB LOCATION_b'\ l.\'l - '1\G~ ~~\>~.("-~"U()e LOT SIZEZl4 X 1Sl7 AREA SQ. FT Jl.Pj Sa? <br /> <br />LEGAL DESCRIPTION: LOT(~) \ 4- BLOCK SUBDIVISION S', I \)c ~. ('J~ks. <br /> <br />PARCEL I,D.if 63 - Zb, ~\ - 0000 '-OC.J(CJC)-~zD /y <br /> <br />WORK PROPOSED: ~ New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demol isl: <br /> <br />____M/F <br /> <br />____iF of Uni ts <br /> <br />_____M / H <br /> <br />s <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />~~ <br /> <br />____Restaurant & Health Department Approval <br /> <br />BU1LDING SIZE~ -5<0 XL,D I <br /> <br />~\q\ <br /> <br />Square Fee t, <br /> <br />cp)( <br /> <br />Heigll r <br /> <br />RESIDENTIAL:' ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR."1S,',': <br />COM.'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS, H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />.L.BUILDING <br />X ELECTRICAL <br />,/ ",f <br />~MECHANICAL <br />X-PLl~BING <br /> <br />$ qo)qoo <br /> <br />;"'00 AMP Service <br />$ 3 De'C) c::?- <br /> <br />Valuation of Total Construction <br /> <br />>< <br /> <br />Florida Power Corp, <br /> <br />_\~.R.E,C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />~ Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />::::::::A1>~ <br /> <br />CONTRACTOR SF,CT~N ( <br />BUILDER Company r ~~ CO'V\l.S'\-- ~<::: . <br />\ --~~ StateCert. or Regist. iF CBC.03S'~4 <br />Signature~~'- City License Registration iF * ~S- <br />****************************************** <br /> <br />Company ;I)~t2- It)u ~ I ~cfi2{ 'c. <br />7) /) () State Cert. or Regis t, IF -r6A <br />r,v.'1I""v( City License Registration iF ~II <br />****************************~************* <br /> <br /> <br />compan~ {' " It,<- J '" VrJ e t f Iv 'f. /, I/} '! <br />State Cert. or Regist. 'll F OIJ6 L/h 'J <br />City License Registration :t /t;"S- <br />. <br />*******************ft******************* <br /> <br />Signature <br /> <br />Signature <br /> <br />Company 6A'niL 50 '?QOpA.-f\l e GAs c AI ~ , <br />--110 _', __ "12 J State Cert. or Regist. i,l c.Ae..Oc:~~q4t'~ <br />~ l::!. at\.IL) City License Registration 'F _i" <br />****************************************** <br /> <br />MECHANICAl <br /> <br />QIHF.;d( aI <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ff <br /> <br />\./ <br /> <br />I <br /> <br /> <br />PERMIT OFFICER, <br /> <br />APPLICATION APPROVED BY <br /> <br />~,.' <br /> <br />, <br /> <br />"I,_"!_f~""'~" <br /> <br />r~.- , <br /> <br />I' <br />A <br />. <br />'+..,..,..."....illJ ...& <br /> <br />-',','-',.,"-"~L~,' <br />, ,:,.. '; <br />, tit" <br />''4 f~ ~ <br />.... .' <br />~ ,~'I'~"", ;- '; <br />411~ _; > <br />