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<br />" , <br /> <br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />r;y)1 , ' <br />f:);? F /' '4(- 3 -fJ -:- <br />I I "";;-;J <br />~ 0- <br />/:; [J - <br /> <br />APPLICANT RYMA-r(j Cv I', S t-~lL~ -\- \ 00-..:. ) 3.1(, L <br />ADDRESS .3.J3~S S. ~ - S~ \""'\c.""s.-t '" Z:..~hy\?",~\k PHONE 1~.)2 -C)~ 2..6""" <br />OWNER ''v\J A-y ~~ ~ ~o..(--:PR.\ C?.C S..I ~ <br />/La.Jl <br />JOB LOCATION ~119..c> Q,--^-\\C,.j 's. ~ - LOT SIZECC)' X \ \ 0 AREA SQ. FT. q 51 ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.i.' 3 -;)6-()/- O/bO -t3CJ?'~?'~ lJ?ib {J <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolis!, <br />PROPOSED USE: ~Single Family _M/F _I; of Units ._t'l/H <br /> ~ <br /> _Commercial _Indust. _Swim. Pool Other <br />t _Restaurant & Health Department Approval <br />BU1LDING SIZE ~ '4~ x-2L, ~8-\~ Square Feet. 2/ He 19!:' <br /> <br />RESIDENTIAL: <br />COM."1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S, <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />'./ BUILDING <br /> <br />$ -"l:J- \ 5oc/~ .;::..- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />..,1' <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_hJ.R,[,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 />I <br />FINISHED FLOOR ELEVATIONS; ~ FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />BlJTLDER <br /> <br />CONTRACTOR SEG~ON , <br />Company "t M ~ eON ~ +e..v.<~h 0 rJ i:J:- N c.. <br />I ~ ~ State Cert. or Regist. II c.PS:-- 0'3<>\ "l- <br />'~'- ' City License Registration iF ~'B~ <br />* *************************************** ' <br /> <br />Signature <br /> <br />ET E(;TRT (;T AN . <br />Si!!nature ~~ <br /> <br />'D_ /) /J <br />r- - Y/i--r./~ <br /> <br />Company 1J11tJ-- t;; Fie c j~ Ie.. <br />State Cert. or Regis t. 4; 773fJ.-. <br />Ci ty License Regis tra tion;F ;}.7 ( <br />****************************~************* <br /> <br />Signature <br /> <br /> <br />compan~ C.6\ b I 'S~vY'LS 1) \ v-. M \-.:)4,.J S <br />State Cert. or egist. iF RF - DO(P~4&3 <br />City License Registration iJ tss- <br />******************~******************* <br /> <br />MECHAN!CAI .~~ <br />Signature-~~ i6L <br /> <br />Company B~h(l.\ So G,.,..~ * ^-Ic.. ' <br />State Cert. or Regist. I,l BkB,D~I:t.~~ e- <br />City License Registration 'F t~ (Sf <br />****************************************** <br /> <br />OTHER - ~ <br />_c:. <br />Signature~ L~~ <br /> <br />Company ?t2-c:.N\\Ul ~c.)\-i~ p..", M~eo~ t <br />State Cert. or Regist. fF - OO(,;,\lo~~ <br />City License Registration IF 6E~ <br /> <br />, r <br />''--'" <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERNIT OFFICER. <br />