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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />rp Jf\-rJ ~ <br /> <br />0,0 <br /> <br />t=:, \e- <br /> <br />APPLICANT '~N C~~Q~~ Lk! ::I-;rll.l <L <br />ADDRESS ~_~- '5.e _.W - ~hV~hJJS PHONE 7'(/;).-087-5" <br />OWNER K€UI r:J b --r ~Q\S6N ~ ~YMA~ <br />'3,'43C;) -- . <br />JOB LOCATION~'" 6,'\06 C-f\f:>~\ebe~(Lr LOT SIZE~X 132 AREA SQ. FT.~ <br />LEGAL DESCRIPTION: LOT(S) G,~ BLOCK SUBDIVISION W(;C~~se_lA)oon <br />PARCEL I, D . if lo - ~ ~ iJ- \ - 0 l'J- b . 00 060 - D <0 ~O <br />WORK PROPOSED: -)( New Construction ____Addition ____Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: )( Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolis!: <br /> <br />____M/F <br /> <br />_I~ of Uni ts <br /> <br />__N/H <br /> <br />I <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />~ <br />; <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 3b <br /> <br />x 5~, 20(q(P <br /> <br />Square Feet. <br /> <br />8/ <br /> <br />Heigll r <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. u <br />**COPY OF CONTRACT REQUIRED. <br /> <br />P~RMTTS R~OUEST~D <br /> <br />~UILDING <br /> <br />~LECTRICAL <br /> <br />_ / ,,'" <br />~MECHANICAL <br /> <br />0Ll~BING <br /> <br />$ 16}OW <br />. <br /> <br />~l) AMP Service <br />$ ~ 40 0 <br /> <br />Valuation of Total Construction <br /> <br />" <br /> <br />Florida Power Corp. <br /> <br />Lu <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ~rame _Steel <br />FINISHED FLOOR ELEVATIONS; ~ FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTIO~ <br />EUILDER Company ~fv1/h:::) &lV;,...J-.:r AJ ~ <br />~ State Cert. OIi Regist. iF CBe -035/2>4- <br />Signature - ~ City License Registration {I ~S- <br />- :~- -.......................................... <br /> <br />ET ECTRTCT AN'~ Company MA-a.J.~,.J {; \ecf-tU E!.-._ <br />\.L"") ,,~n State Cert. or Regist. iF efL. CX:>l~4'fq <br />Si!!natur~~ ~..... ~t'~ City License Registration IF @..il <br />****************************~************* <br /> <br />PLUMBER <br /> <br /> <br />Company Co \ 6 Y 'SA-YNe ~~ V\n-\ b~,u S <br />State Cert. or Regist. !,' f2'F- ooG..o'-tla3 <br />City License Registration 'I \SS <br />*****************~******************* <br /> <br />Signature <br /> <br />i/ <br /> <br />Signatur;;/ <br /> <br /> <br />Company BA-~IL' S GA-$..-r Ac-/e. <br />State Cert. or Regist. ifr BA~-043P\~8 <br />City License Registration II ~ -/~ <br />****************************************** <br /> <br />OTHER <br />Signatur~~ <br /> <br />Company \<1' M ~ C()l\J S1 <br />State Cert. or Regist. iF 12.E:' -DOlo/It, 4-8 <br />City License Registration if 5y~ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />******************* <br /> <br />PERNIT OFFICER. <br />