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<br />APPLICATION FOR PERl'l1T <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARTl>lENT <br /> <br />APPLICANT tJ~O u r'G Y W\A .J,.... -:- 8<:i...AC <br />H oJ '-I 5"'4 . ex) bS-r <br />O\-lNER uS A --?.J eCDA-iRerJ <br />fJe;wPatT' De', '1'6 <br /> <br />ADDRESS 3 S" ~<o I <br /> <br />r f\Sn e 5\11:Tt: <br />PIIONE(2rf V .:J. ~ 'Z.- z- L.. (, <p <br /> <br />PARCEL I, D , iF <br /> <br />\-lORK PROPOSED:~Ne\V Construction ____Addition ____Alterntion ____Repair ____Install <br /> <br />Q ~ _ z. ~ - 2-1 - tJ I 3 6 - c1 ~c1 . (J 0 - 0.:1.9, ~ <br /> <br />BLOCK <br /> <br />LOT SIZE~X-1l1l AREA SQ,FT. <br />SUBDIVISION z.e;p H "'e...- re J D65" <br /> <br />Jon LOCATION j....(jT Z- t:j <br /> <br />LEGAL DESCRIPTION: LOTeS) <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____I-love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Singlc Family <br /> <br />~M/F <br /> <br />_iF of Units <br /> <br />. __~1/Jl <br /> <br />_commercial <br /> <br />_Indust. <br /> <br />____S\Vim., Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~ ~: ~JL, <br /> <br />I ~q~ <br /> <br />Square Fee t, <br /> <br />/ ..5T1J~ <br /> <br />[, (1) SET ENERGY <br />FOm-IS . ~,* <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACII (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />cmmERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COpy Of CONTRACT REQUIRED. <br /> <br />FO~~IS, ** <br /> <br />URMTTS REOUESTED <br /> <br />LBUILDING <br />~ELECTRICAL <br />+~lECHAN~CAL <br />~PLilllBING <br /> <br />$ <br /> <br />d~$IJ{J <br />IS'o AMP Service <br />(lobO.o <br /> <br />v~luation of Total Construction <br /> <br />Florida po\Ver Corp. <br /> <br />_\,'.R.E,C, <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: __Block <br /> <br />_Frame ____Steel f\\bAll~ HdMeOther <br /> <br />FINISHED FLOOR ELEV^TIONS:~FT. <br /> <br />****************************************** <br /> <br />,CONTRACTOR SE~T"ll.N .,.- It r q-- <br />, Company _ __~ Ie.._ ~J'U_TJ~-'l.5, ~-e.. <br />State Cert. or Rcgist. U <br />City License FcCL:;(.rat'inn ~i ..3 ~{o <br />****************************************** <br /> <br /> <br />= <br /> <br />Signature <br /> <br />Signature <br /> <br />Company (" .I-~c....e:;- :1()~ \J <br />State Cert. or Rcgist. 0 <br />City License Regi.stration~! .~ S- <br />************ *************************t*** <br /> <br />lh/~?J ~ . Company. FfEXS6 ,j Ie Y/l')~1J <br /> <br />~. ~ State Cert. or Rcgist, !: -9' <br />~~ City License R.egistration iF I Q a <br />. * * * ** ** *********** ** ** * *~,~, *~,~,;, ,', .::~:~, -:: ,':~, .:: -:, -:, ,'", <br /> <br />~ <br /> <br />I'1.mmF.R <br /> <br /> <br />Signature <br /> <br />Company gA He...5 <br />State Cett. or Regist. 0 <br />City License R.egistration <br />********************************* <br /> <br />7El:1 Pf\\l e;- ~ A I~ <br />,I -lg <br /> <br />~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. t~ <br />City License Registration 0 <br /> <br />DTHER <br /> <br />*****************************************~ <br /> <br />PER1'I1T OFFICER, <br /> <br />APPLICATION APPROVED BY <br /> <br />.r . -~'";';'~' b . "', <br /> <br />~- ,"! <br />...-~ .LJ~l>>-'" . . <br />~"l"" <br /> <br />~. <br /> <br />--, <br /> <br /> <br /> <br />-........ <br /> <br />.,... <br /> <br />-,. <br />