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<br />APPLICATION FOR PERl'IIT <br />CITY OF.ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~'1(~A0 .~~,: <br />...$r ~.b-: cTl> "-~'-?';/ <br /> <br />APPLICANT ~ ~YMA~ COI\.\S-\-e-~Oy.J ~I\J~ <br /> <br />ADDRESS 31 ~z.~ s. e, S4.- 'Wcs"'(-- Z::.phy fLn~ \\s PHONE ,82." ()8~5 <br /> <br />OWNER \hC:lN\~'S.. ~o t; \-'ZA\od-h lV' AiC~~O.u <br />..37'/f3 7?./L~ <br />JOB LOCATION \;cf \2.D~ ~e D~('~ M~otC.. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE&,3 X \OS- AREP, SQ. FT. ~D, /6,00 <br />SUBDIVISION \\)CDG-e~OOQ f'v1A,-f\XJL <br /> <br />PARCEL 1. D. I': \ D - :2..<0"':;).' - 6 \ 2..D - 60000" \l-D () <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____InstaLl <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demoli"i <br /> <br />____M/F <br /> <br />____II of Uni ts <br /> <br />_~l/H <br /> <br />( <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />"} <br /> <br />_Restaurant & Health Department Approval <br /> <br />BU1LDING SIZE -; . 30 x~1 <br /> <br />15~3 <br /> <br />Square Feet. <br /> <br />Sf <br /> <br />He igll' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR."1S.' <br />COM.'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />YBUILDING <br /> <br />.Y ELECTRICAL <br />.../ ",t <br />~MECHANICAL <br /> <br />LPLl~BING <br /> <br />$ <br />ZDo <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />~\~.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical lnstallation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ~Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS; FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SE~ON <br />BUILDER Company '11\1\1\--,,) Ce~~4. ~l\.C. <br />~.. ~ State Cert. or Regist, II CSC-D55'13+ <br />Signatur ~ ~ City License Registration # J>.s- <br />, * * * * ** * ** * * * * **** ** ***** ** * ** * * * * * * * * ofn', * * *. <br />~--- ~ ~ .0' <br />ET ECTR1 (;1 AN .l.A'- ,,~I\) \: ' ~ ~,l~~ <br /> <br />Si~nature ~~ \=> W~ <br /> <br />Signature <br /> <br /> <br />Company fl\Pr(L-l~ ~ ~ \ e~~ <- <br />State Cert, or Regist. 1F D~\ I.{\.{q <br />City License Regis tration iF .;ll, <br />****************************************** <br />. C} compan~ {<l I tv J ~ V" e5 fir,." 9 i!19 <br />State Cert, or Regit't. IF ' R F ao 16 <br />City License Registration iF I C;~ <br />****************ft******************* <br /> <br />Signature <br /> <br />'~{{~1'VJl- Ba.Jvv <br /> <br />Company EA-'n~~ c:,.A:S.A-N~ 7~~e .:r~ <br />State Cert. or Regist. I.t CA(!C.43Qqe, <br />City License Registration 'I '7)( <br />****************************************** <br /> <br />MECHA.NICA.l <br /> <br />Company 2f <br />State Cert. or Regist. U <br />City License Registration ff <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />J1 d/M A ~ _-.!i ~/1&rW- <br /> <br />PERmT OFFICER. <br /> <br />:! <br />" <br /> <br />~ec:i : <br /> <br />a <br />1. " L~~ <br /> <br />~ ,. <br />IJ:I ~nflJ- ~ -~;l'r;"'f ,,' ~~' <br />