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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'1fffi1-~/'l~ <br /> <br /> <br />". -- t:rD <br />'I~r <br /> <br />AP PLl CANT & M AoN Co IU ~{Q..'-'-ec.\.{ 0.0 ) 'J: I\) <;:. . <br />ADDRESS 51 ~iLS s ,~. S:\- We.<::>t 2-"', l\,S PHONE 'tel.-. 0 B2..~ <br />QI-/NER Keu I 00 ~rlV\~r0 ) \t> "^ ~ <!.. ~\~A.~ 1\1lt:'\ ~ <br />\ ~ J7rAS "lr~_ <br />JOB LOCATION~O-t 6"1- W~~<:r(~OOD LOT SIZE<09.. ~ AREA SQ.FT. ~SCJO <br /> <br />LEGAL DESCRIPTION: LOT(S) 0P370 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I, D, '.' <br /> <br />\0 - ~~ - ~\~O\d.O - C>6000'- 0<5(0 <br /> <br />WORK PROPOSED:~New Cons truc tion _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolis!: <br />PROPOSED USE: ~Single Family _M/F _iF of Units ._~l/H <br /> _Commercial _Indust. _Swim. Pool Other <br />t _Restaurant & Health Department Approval <br />BUnDING SIZE~ '3~ x~, \<.043 Square Feet. ~f Heigll: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S. '" <br />COM.'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS .1d, <br />**COPY OF CONTRACT REQUIRED, <br /> <br />~UILDING <br /> <br />PF.RMTTS RF.OUESTF.D <br /> <br />$ <br /> <br />GO,ODO ..... <br /> <br />/ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />...", <br />_MECHANICAL <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 <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br />fINISHED FLOOR ELEVATIONS: ~5" FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR ~ L <br />Company M~,.:) C6"-l~T' :Cl\,)c..~ <br />State Cert. or Regis t. IF L13~-D 35/~~ <br />~ City License Registration II <86"'_ <br />***************************************** <br /> <br />EI ECTR1 (;1 AN Company 1Y\~j,....:\-': ~ gec.....-i1~I'--~ <br />----? ..' ~ ~ ~ State Cert. or Regist. i/ l=="f..-o~L:st.(4q <br />Si!:'nature ~~ ,. Vv...,.j '^.~ City License Registration;1 9.'ll . <br />****************************~************* <br /> <br />MECHANI_:r <br />Slgnature cL (. <br /> <br />Company C'D \ \::,~ ""SNf"'" ~7\ '^- "" lei r>J S <br />~ State Cert. or egist. " e.r- DoIo",,,,,...:3 <br />~) R'/) City License Registration ,t \55 <br /> <br />** * ****************;ic*********id'*""*,~t,,,:: <br /> <br /> <br />Company ~p., h ~ G-A.s. ~~ e. <br />1S:L State Cert. or Regist. i,: Me,c 34.4-"eJ <br />City License Registration 'I . 7 g <br />****************************************** <br /> <br />PLL'MRER <br />Signature ~~ <br /> <br />OTHER <br />Signatur~,^" ~~ <br /> <br />Company ~1V\P<r~ CO(\.)S"t ' <br />State Cert. or Regist. iF <RC-ooc,llo <fA <br />City License Registration il ~~ <br /> <br />'J,.. <br /> <br />APPLICATION APPROVED BY <br /> <br />*?1~~*i1j:;::~"**********"*'*'* <br /> <br />PERmT OFFICER. <br />