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<br />APPLICATION FOR PERHIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnlENT <br /> <br />! ,: <br /> <br />APPLICANT H-~e.. L~~mE"t.. <br />ADDRESS sC; Z-~ 1 H-wY S 4--u.Je-sT <br />OHNER H~ Ii? ..J:- tJtb~~Te: <br />JOB LOCATION /#/1 z.e;P.l/'(g. e(D~'" bel..t< LOT SIZEli., tOO' AREA SQ. FT. 10<; 0 c <br />LEGAL DESCRIPTION' LOT (S) (\50 DLOCK!:X'1OO0SUBDIVISION ;Z.ePl+'1'~ /'i:,1 t> CD € <br />PARCEL LD.li 3 -L.~ - Z-J ~~, SO - OOC60"e,C 3~ <br /> <br />PHONE <br /> <br />)S-J"3 - --1~ 'Z.- - z-z-l..b <br /> <br />. . <br /> <br />WORK PROPOSED:~ Nc\v Construction ____Addition ____AlterQtion ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ Single Family <br /> <br />____Sign <br /> <br />_I-love <br /> <br />____Demolish <br /> <br />~M/F <br /> <br />____ii of Units <br /> <br />,.~~I/Il <br /> <br />____commercial <br /> <br />_Indust, <br /> <br />____S\vim.. Pool <br /> <br />Other <br /> <br />____Res t~nlrant & Health Department Approval <br /> <br />Square Feett~C~~ <br />. <br /> <br />Height <br /> <br />RESIDENTIAL: A TT ACIl (2) PLOT PLANS & (2) SETS OF BUILDING PLANS c( (1) SET ENERGY FORl-IS. ** <br />COHHERCIAL: ATTACH (3) SETS OF BUILDING PUNS & (1) SET ENERGY FORt-IS. ~,* <br />**COpy OF COtlTP.ACT REQUIRED. <br /> <br />J'ERMTTS REOUESTED <br /> <br />lBUILDING <br />~ELECTRICAL <br />~~IECHANICAL <br />~PLilllBING <br /> <br />s 3~.~06 <br />\Ci'\ <br />---4~ \J AHP Service <br />S I &"0 C <br />.' <br /> <br />V~luation of Total Construction <br /> <br />Florida power Corp. <br /> <br />~H.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />___GAS <br /> <br />ROOFING <br /> <br />SPEClt\LTY <br /> <br />TYPE OF CONSTRUCTION: ___Block <br /> <br />____Frame ____Steel <br /> <br />~. ~ . <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />*********~******************************** <br /> <br />Signature <br /> <br /> <br />~ONTRACTOR ~ECTION ~ ~ <br />_ Company H t::1..- rc.. ...L. """l ~~rnTe: <br />State Cert. or Rc~ist. U <br />~ City License FCf"i;,l'.c,t.i.n!1 ji abb <br />~ 1, * * * ;, * ;, 1c fc ,~ * * * *;, ;, * * ;, ;, ;, * fc -I, fc f: ;, fe ie fe ~e .:, -I, ,", .:: .:, -I, ,', ,", " ,', .;; <br /> <br />~~ <br /> <br />~f.CIIANT CA~< P'/M J'tW> "AS · M.- Company ~12 jJ ~ A tJ'6 c:,j. A I c... <br />, S C i:,'" <br />tate ert. or l\.ei?,lst. " <br />Signature ~ 8t.L 6.; ~*f::..***.~~~~.;;~;;~:;.~;~~~~:~~:~~ ,! :1'4 <br /> <br />Company - "\61-5t\~ e Y M-A-J <br /> <br />State Cert. or Regist. U <br />City License Regis tration!i Ie ex <br />****************************************** <br /> <br />Company o.~ i1 ror<..onU ~c... SE~.-,Jl~~ <br />State Cert. or Regist. 0 <br />City License Registr;:ttion ;i: ~S <br />****************************~*** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ~ <br /> <br />0THFR <br /> <br />****************************************** <br /> <br />PER~IIT OFFICER. <br /> <br />APPLWf TION <br />I IL~ <br />(: <br />t.~,,-. <br /> <br />APPROVED IW <br /> <br />",1<~;-;o,-:.~...:lD:,~ ~.~.~.,~~~. <br /> <br />(.. '~f~~ .. <br /> <br />..........~...... <br />