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<br />APPLICATION FOR PEm-IIT <br />CITY OF ZEPHYRIIILLS <br />BUILDING DEPARUlENT <br /> <br />APPLICANT 3-\ c::l..- R. :c. ~l~rn 1-:t <br />ADDRESs35 Z-~ l-l-\.llJy ,S- <+ L0 i-ST - PIl~Nl~ ~I' ~ '1 g- -z.., '2 "Z-I~ <br />OHNER \lJ i LL[f\'~ ~ 'SHJ ~L6Y lNtf\c..Y H:C12 ~~~ SIe-. \ t-}t:L ~ <br /> <br />. ' <br /> <br />Jon LOCATION 1-0\ S-G ?R.A-DO P urQ LOT SIZE be xlOC I\REA SQ. fT. lo~ {\) <br /><-..5 '?c!J yy - <br />LEGAL DESCRIPTION: LOT (S) b q BLOCItJOOCOSurH>IVISION L.e"'P-I+~ l<-l PG g <br />PARCEL I.D.!F $ -z.L,-z..( -0130 -000 a~ - OS-Cf~ <br />WORK PROPOSED: ~ Ne\-J Construction _Addition _Altera.tion _Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />~M/F <br /> <br />_iF of Units <br /> <br />~~l/ll <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_S\<lim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />nUILDING SIZE: r..l.'--l x~, <br /> <br />1i"'z:..6 <br />I <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />comlERctAL <br />~ <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS [< (1) SET E~ERGY fOR~lS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORrIS. ;,* <br />**COPY Of CONTRACT REQUIRED. <br /> <br />i- <br /> <br />LBUILDING <br /> <br />~ELECTRICAL <br /> <br />1< ~lECHANICAL <br /> <br />-*-pLmmING <br /> <br />PERMITS REQUESTED <br /> <br />s Lf6 00 () <br />, <br />J 5" 6 AMP Service <br /> <br />$ J'cq <br /> <br />Valuation of Total Construction <br /> <br />~ Florida Pm,er Corp. <br /> <br />_h'.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />j\t.H . <br /> <br />Other <br /> <br />fINISHED fLOOR ELEVATIONS: FT. <br /> <br />*********~******************************** <br /> <br />om!""R ~~ <br /> <br />Slgnature <br /> <br />. f CONTRACTOR SECT~ <br />~ . Company ~ <br />State Cert. or gc:r.ist. !I <br />J J City L~cense ~~;~~.~.:~~l.:;,t~ ~.(:l: ;! <br />-ir 'I< idr*,~.r .,* *********** ***,ddr*idr ir".r ,. .. .. .. ,." .. .." .. <br /> <br />:oJT~5rnlt; <br />3~,b <br /> <br />:~:::::::A~ .. Company C\,l ~ ~N ~ LeG <br />~ Stnte Cert. or Recio t. Ii <br />Sionat1\re ~ City License Rer.istr::ltion;! "'3 'S'" <br />I.J oJ..' oJ .' .r l,. ~ ~'. J. to '. ~t. .1. ~'. .'. .t. ..). ~'. <br />" .,,~ .. * " * * ., * * * * * * * * * * * * * * * ,~ * " * .r h i. .. .. ,. ,. .. .. " ,. n " .. <br /> <br /> <br />PI.UMUf.R ~ i:: := . Compnny. M e:LSC..J r<'......r>->r+tJ <br />, State Cert. or ReGis t. !,! <br />Signature A City License Rec,istrCltion;1 1(\ i' <br />~ . *......*...................*************** <br /> <br />Signature <br /> <br />Company 'BAttR. s pe,.DPANe" ~ flJe.... <br />State Cert. or Regist. n <br />City License Registration 'I (~ <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or ReGis t. iF <br />City License Rccistrntion ~ <br /> <br />OTHER <br /> <br />Signature <br /> <br />*****************************************~ <br /> <br />PEmlIT OfFICER. <br /> <br />APPLICATION APPROVED BY <br />