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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ t-J\(\.N CO 1\)5; -\-e..\AC ~L D N <br />ADDRESS 513~S ~ i e. SLf LUes -C ~ <br />OWNER -keo<...::::J ~ '?i ('I\~~ ) <br />~ 3'3.... c..o e!.wPrn .- I <br />JOB LOCATION~-\ 60 \~~o('~~O<:..i~ 1/ LOT SIZE~l13 AREA SQ.FT.5P)5'1 <br />LEGAL DESCRIPTION: LOT (S ~5 0 BLOC~OmUBDIVIS ION 0 \ L D <br />PARCEL I.D. if 10- Z. ~ - d.... \ ~ 0 \ 'Z.D - OODDO--O 500 <br /> <br />~ I\) <::.- . <br />PHONESl ~.. -;7'3;2- ot:r2-'5' <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 is!. <br /> <br />____M/F <br /> <br />____IF of Uni ts <br /> <br />.____1'1/ H <br /> <br />, <br /> <br />____Commercial <br /> <br />____Indus t , <br /> <br />____Swim, Pool <br /> <br />Other <br /> <br />~. <br />I <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE-: -38 X~, <br /> <br />.' <br /> <br />~O(o 0 <br /> <br />Square Feet, <br /> <br />?S"( <br /> <br />Heigll~ <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 />~UILDING <br /> <br />LELECTRICAL <br />/ 'If' <br />~CHANICAL <br /> <br />PLl~BING <br /> <br />PF.RMJTS RF.OUF.STF.D <br /> <br />$ 51 J i)oo <br />, <br /> <br />XD <br /> <br />$ / ex:.~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />~.R.E.C, <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~Frame ____Steel <br /> <br />Other -V <br />1):/<( b()/~ <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />****************************************** <br /> <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regisc. # <br />City License Registration ~ <br />****************************************** <br /> <br />Company &IJLhV J ~l(le5 ~!t;1bll/(J <br />State Cert, or Reiist. ,I / __/= 0 --~5 <br />City License Registration 'F J '?~ <br />. <br />******************~******************* <br /> <br />(l\ ~ R-+-:~ <br /> <br />~~tt~c <br />.;;r7( <br /> <br />Si!!nature <br /> <br />MECHANICAL <br /> <br />Company BA~tt s c; kS f Al~ , <br />/1;. , "'" - t2 _ 17 . State Cert. or Regis t. I,t CA~l"'>4 3~q.p:> <br />~ ~ City License Registration 'I Ie. <br />****************************************** <br /> <br />Signature <br /> <br />? <br />OTHFR, <br /> <br />Company <br />State Cert, or Regist, U <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PER~IIT OFFICER. <br />