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<br />APPLICATION FOR PERI'1IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARn1ENT <br /> <br />APPLICANT -1-1 cL-~ r NieIL5ThTt "\(E L-SO 10 <br />- - .. . - ' ~.... <br /> <br />ADDRESS 3 1 1.0 3 5 N e;' uJA-- J.:..:.J:' d A- Y 6 <br />~o u.J ~ vJ 0 LD1<--~rTpf Kg-c~ <br />Jon LOCATION zgpHye .f?.lDGe ' <br /> <br />PHONE -r~' i-- <br /> <br />Je'y Wl~ <br />z-- -z- -J k <br /> <br />OHNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />L'OT SIZE/JJillX I f.D 7 AREA SQ, FT. I 3 I 9 Z- <br />SUBDIVISION ,ze:-effY~ R(DGt <br /> <br />WORK PROPOSED:.:2if-Nel' Construction _Addition _Alteration _Eepair _Install <br /> <br />c:3 - Z- tp .:.- ZJ ':~ 0 /3. (') -- l) 6 (j C) 0 - 0 I q 6 <br /> <br />PARCEL 1. D. i~ <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Sinr~lc Family <br /> <br />_Sign '.' <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />~M/F <br /> <br />~t~ of Uni ts <br /> <br />. ~tl/ II <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />SI",im, Pool <br />- ' <br /> <br />Other <br /> <br />nUILDING SIZE: <br /> <br />_Restrlurant & Health Department Approval . <br />'Z- &" xJo.lL I I Z- Y z- ,-I -nrG stuCfrf;> fe'c t I <br />, <br /> <br />HeiGht <br /> <br />RESIDENTIAL: ATTACIl (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [, (1) SET ENERGY FOR!'IS,H <br />COHl'IERCIAL: ATTACI! (:'.) SETS Of BUILDING PLANS & (1) SET ENERGY fOR~15. H <br />**COpy Or CONTI\ACT REQUIRED. <br /> <br />LBUILDING <br />~ELECTRICAL <br />~_JIECHANICAL <br />~PLm1BING <br /> <br />]'ERMTTS REQUESTED <br />$ S-L\ 700 Valuation of Total Construction <br />~50 AHP Service -*-Florida POI",cr Corp. <br /> <br />_h',R,E.C. <br /> <br />$ Z-Q 0 ~ <br />.' <br /> <br />Valuation of Mechanical Installation <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel MOB' 1t--~J=1~fMer <br /> <br />___GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: FT. . <br /> <br />**********.***********************~**~***** <br /> <br />j\ 1111.\11::1 <br /> <br /> <br />~ONTRACTOR 0E~fJ~ <br />\~ ,Company pt15l..-D M.H-.~~"I(e <br />Ct"t cc.t 0\' l'l'['}' .'t' il ~I ~ ~ <br />o 0. C t I . \..' ,I .' .. - ._~- <br /> <br />City License HC[',istrat inn:! ;3 ~ fa <br />****************************************** <br /> <br />Company ~Ci. H JQ4UJA- rJ ,I,N G <br />State Cert. or Rcgist, II 32--3 <br />City License Rcgistr:.ttion;! ...=5 S-- <br />***********************************~*** <br /> <br />~ <br /> <br />. Company' ~ eLSC:> ~ rS: ~ M A J <br />State Cert. or Regis t. !,! I <c 11 <br />City License Registration!~ I () $'" <br />****************************************** <br /> <br />Signature <br /> <br />Comp'any BA.t-\-e./~ 'Pl21JPA-aJ6' CoA-~~-A.C. <br />State Cert. or Regist. i',' S-~ L}?> <br />City License Registration 0 7 ~ <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Rcgist, 0 <br />City License Rcgist1:3.tion ii <br /> <br />,OTHER <br /> <br />****************************************** <br /> <br />PEmllT OFFICER. <br /> <br />APPLICATION APPROVED nY <br /> <br />.'~ "\0,. <br /> <br />'.'r"'''''''' <br /> <br />; <br />... ,> -1 <br />"" .._,,~.;,....::^~>te9"i\g; <br /> <br />. "...,. . ...,-.-. - . ~ .. .'..,...~... ... <br />