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<br />APPLICATION FOR PERNIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />APPLICANT J-t~r<... .L kJTe-lL~ ffiTt;
<br />ADDRESS ~.5" z- <.of '8 oJ Y 5 Lf 'w
<br />OHNER ~e -CNTb~srnT€. ./ {)l~e
<br />Jon LOCATIoN I--Dr 13 f2.tDGeLUA-Y' LOT SIZE~xl6C / M\EA SQ.FT. fDOb 15'
<br />LEGAL DESCRIPTION: LOT (S) I :3 BLOCK SUBDIVISION Z€"PH-Ye. f< iD(f,E
<br />PARCEL~.D.11 -3 -Z~-Zl -at 36 -00006 - a13lJ
<br />
<br />PHONE {<is Z. ~Z-llo
<br />& t2.A1<..D
<br />
<br />WORK PROPOSED:~Ne\y Construction ____Addition ____Alteration ____Repair _Install
<br />
<br />_Sign/Temp.
<br />PROPOSED USE: ~Single Family
<br />
<br />____Sign
<br />
<br />____l'love
<br />
<br />_Demolish
<br />. L~l/ H
<br />
<br />~M/F
<br />
<br />_II of Units
<br />
<br />_Commercial
<br />
<br />_Indust.
<br />
<br />_S\,im.. Pool
<br />
<br />Other
<br />
<br />_Restaurant & Health Department Approval
<br />
<br />nUILDING SIZE: z.S .tf- x~L{
<br />
<br />J z...5~.7~
<br />
<br />Square Fee t,
<br />
<br />Height
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS (< (1) SET ENERGY FOR!'IS.**
<br />COMHERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY l'OR~IS H
<br />**C01'Y Of CONTRACT REQUIRED.
<br />
<br />]2ERMTTS REOUESTED
<br />
<br />~BUILDING
<br />LELECTRICAL
<br />~l'lECHANIC^L
<br />LPLilllBING
<br />
<br />$ 301000
<br />1'56 AMP Service
<br />$ _I '8" 0(:) .'
<br />
<br />Valuation 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 />SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: _Block ____Frame ____Steel
<br />
<br />M. +-( .
<br />
<br />Other
<br />
<br />FINISHED FLOOR ELEVATIONS: FT.
<br />
<br />**********'********************************
<br />
<br />f,ONTRACTOR ~
<br />nJl1T.D ER II /,L ,-f&.~ . Company "'- ~ :r:tJ~ f\--P;:-
<br />, .
<br />4; ' State Cert. or Reg"'.. !I
<br />Signature ~tuv.J' .' City License l'Cf',i;iCX;\tinn ii 3S-o
<br />~* * 'i,;, '" * * ******** * *"""" ,', i, ir '" "' i, "' ,', ,'r" 'i: .:: ,'"", ,', ,r ,', .:,
<br />
<br />
<br />Company .:Jl)fC..D A- tl.l
<br />State Cert. or I~egis{:. ~
<br />City License Rer,istr;:ltion i' 38'
<br />****"'*****************""***************~***
<br />
<br />PLlJ1jBER ~~ . Company ~e;L5olJ re.'irnArJ
<br />State Cert. or Regist'.. !.' ~
<br />Signature CJ.ty LJ.cense ReglstratH1l1 Ii , () d
<br />... . ,-. - H" ** ................*' ** .** ** 'H'.' * <",* ,.h", ·
<br />
<br />MECHAN1CAt ~~~. A Company f3 PrH-K-S Pe.oPA'rJ~'4-- A-G
<br />I~ ~ /' State Cert. or Regist. l'
<br />Signature 7' ~ . City License Regi~uation 'i ('3
<br />.. ,', *""r.i,"''''***********''r** * **,'r ir 'It ,'<i,i, "' .:,,',*,~ 'i,';, 1: 'i, ,:;:
<br />
<br />OTHER
<br />
<br />Signature
<br />
<br />Company
<br />State Cert. or Rccist. t~
<br />City License ReGistration ~
<br />
<br />APPLICATION APPROVED BY
<br />
<br />~i' *...... * * * * * '" * * * * J, i, * * * J. *.~ *,~ * .'. .'. ," ,'- J_ J. -'- J_ -', ,'- .', J. -'- -'.
<br />
<br />. - A,~ ~ 211 ~. ..... ............... " .
<br />
<br />PER~I1T OFfICER.
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