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<br />APPLICATION FOR PER!>IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />A "- <br /> <br />, ~ Ktp (}L d:I~- i':?-_ <br /> <br />/ -- <br />/-1;2 /lti <br /> <br />APPLICANT ~ tv\. A..u e.Ot'\,)S+~V-C..'~-\.6 ~ } S~ ~.. <br />ADDRESS ~-'~'d-'S '5.,(2.. S4 'V\\-Z-\--', \ \~ <br /> <br />OWNER ~u,,,.J ~ Yn N <br />\ ..L >F-., \.\ \ ,,_ J'7lf[) ( <br />JOB LOCATION ~ 0 {" 8 \c:). V\J c..D6<"'..JOCH~ <br /> <br />LEGAL DESCRIPTION: LOT(S) ~lo <br /> <br /> <br />PHONE (fO '2- ' O~) l- ~ <br />- .::sOh t().. ~ C/t..:) _' (;"lJ <br />ZE~XqO AREA SQ.FT.4S"\O <br /> <br />BLOCK <br /> <br />SUBDIVISION ~ (.oc."( WOo ~ - <br /> <br />PARCEL 1. D,!~ <br /> <br />\0 ~ :')..<0- ~\.- O\"d--O - 00000-0 B~O <br /> <br />WORK PROPOSED: )( New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ')( Single Family _M/F _IF of Units __M/H <br /> _Commercial _Indust. _Swim, Pool Other <br />~~ _Restaurant & Health Department Approval <br />BU1LDING SIZE: 30 xa. \~~3 Square Feet, ~' Heiglll <br /> <br />RESIDENTIAL: <br />COMJ1ERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S,"-' <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS.H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />_BUILDING <br /> <br />PERMITS REOUESTED <br /> <br /> <br />$ 45) '00 Valuation of Total Construction <br /> <br />~CXJ AMP Service Florida Power Corp. <br /> <br />L\~.R,E.C, <br /> <br />_ELECTRICAL <br /> <br />>if <br />_MECHANICAL <br /> <br />$ <br /> <br />0..... <br />~OOO '- <br /> <br />Valuation of Mechanical Installation <br /> <br />_PU::1BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIAl.TY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br />FINISHED FLOOR ELEVATIONS: FT. - BFE i- <br /> <br />Other <br /> <br />****************************************** <br /> <br />\ /' -::::> CONTRACTOR SECTI~ { . _ <br />BUILDER r".eu I ~ 1''( N\A;::; Company ~ 'tvv\~ . CoNS'+-~-\-l~ ~. <br />.. \~~ State Cert, or Regist, 41 eg"e.-O~s\~ <br />Signatu~,- ~ - City License Registration 11 $3 S- <br />*********************************K******** <br /> <br /> <br />Company ~/~ JlJ/I1t'J trv".,..)i? ,5 <br />s~ate ~ert. or R~gist, ,;.' . RI- f~f'7'hJ <br />City License Registration ~ <br />******************~******************* <br /> <br />Signature <br /> <br />MECHANI C~~ O. ~ \6,..-\-, a... ' Company '&AI:1a.\. G ... So 4- Ai <iL <br />L ' t State CerL or RegisL I! e...llC2"~'l.'te:, <br />Signature ~ ~ City License Registration 1/ ~ 7t;' <br />~ ****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />******************** <br /> <br />PER!'IIT OFFICER. <br />