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<br />-. <br /> <br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~(>.-t-J C{)fUS+~-hI\N) I.uQ. <br />ADDRESS 113 S S. e. 54 .fls--t: . PHONE <br />OWNER 'R ~~ e ~ILA. ~ fc ~ <br />JOB LOCATION 51853 S. Q. 5'-l W~ <br /> <br />. App~oK' <br />LOT SIZE~~ AREA SQ.FT. \Z,blS-: 00 <br />./ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.I,' \0 ~Zto'2\-D03o--000QC::) - 005 ( <br /> <br />WORK PROPOSED:____New Construction ~Addition _Alteration ____Repair ____Install <br /> ____Sign/Temp. _Sign _Move ____Demo 1 1 ",I, <br />PROPOSED USE: ____Single Family _M/F ____IF of Units _~I/H <br /> :L"commercial _Indust. ____Swim. Pool Othel <br />1~ _Restaurant & Health Department Approval <br />BUlLDING SIZE': . \s x4D f ton 0 Square Feet. \Of He igll' <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR-'1S. <br />COMI1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. U <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~(JILDING <br /> <br />.YELECTRICAL <br />. f <br />Y1.1ECHANI CAL <br /> <br />PERMITS REOUESTED <br /> <br />$ Z 5) 1) 6C/':;"" <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 Installation <br /> <br />__PLl~BING GAS ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~ Block _Frame _Steel <br />I <br />FINISHED FLOOR ELEVATIONS; ;Z , FT. <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />****************************************** <br /> <br />CONTRACIOR s~ I I <br />BUTtDER , Company M~ ('O-~S.~llJ.AC\-~6~ 'r"N <br />~-~ State Cert. r Regist. it c.;(',c.-o'3f:.,'!..... <br />Signatur I.. c...-- City License Registration iF ~?~ <br />, - :::....*.........................*..*.*.*. . <br /> <br />ET ECTRTCT AN . <br />'/? <br />Si~nature ~~F~, <br /> <br />Company Ii1..9.L fJiil f7 t" ~ ' C-c <br />'J )} jJ State Cert. or Regist. IF '7/. ~1t <br />r- L/w r'\ Ci ty License Regis tra tion 1F d 7 I <br />* * * * ** * * 'it * **** ** * * *** * * ** * * * 'if it * * it 'it it * * * 'it it 'it * <br /> <br />7vA?~ compan~ v//0/t, ,JaYJ1{J_> fl;~ii?~ <br />{ / . <br />State Cert. or Regis . ~ <br />City License Registration :~ / '7~ <br />*****************~******************* <br /> <br /> <br />MECHANICAL <br />Signature -~ <br /> <br />~ <br /> <br />Company B ~~' ~ ~(lO?1\ N e G A-5.. -t- A-t=- <br />State Cert. or Regist. I.! CAC.ffj:-'?:>Or.Lfe> <br />City License Registration;~ 1 <br />*********************************~******** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. lj <br />City License Registration ff <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt-lIT OFFICER. <br />