|
<br />APPLICATION FOR PERI-lIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />? IF f#50~i:--
<br />~ -Jf{~9~
<br />
<br />APPLICANT
<br />
<br />R M'A:N
<br />
<br />Co I\JS' ~u, C+. () to
<br />
<br />
<br />ADDRESS ~ ,'?:> ~S ~,R ~)L\. \..\~.. Zc::..rhyrz. \'11 I PHONE If32. - () 2:'J.~
<br />OWNER BRu<:,; ~-S'^-\'C e ~1~
<br />JOB LOCATION\:-",i"1J SO~( ~jf!4J,i SIZefrL~ \0'1 AREA SQ,FT,g((){)
<br />LEGAL DESCRIPTION: LOT(S)-1.1 BLOCK SUBDIVISION "SlAo\fY)e.1L\,'; l\
<br />PARCEL I. D. i.' \ ~~,og.lo- ~ \.. 0 \DD - OOOCX:''\ - O,\C)
<br />
<br />WORK PROPOSED: ~New Construction ____Addition ____Alteration ____Repair ____Install
<br />
<br />____Sign/Temp.
<br />PROPOSED USE: ~Single Family
<br />
<br />____Sign
<br />
<br />_Move
<br />
<br />____Demol is!:
<br />
<br />____M/F
<br />
<br />____u of Units
<br />
<br />,____M / H
<br />
<br />"
<br />
<br />____Commercial
<br />
<br />____Indust.
<br />
<br />____Swim, Pool
<br />
<br />Other
<br />
<br />oj
<br />;
<br />
<br />____Restaurant & Health Department Approval
<br />
<br />BUILDING SIZE: S ~ X~, \ 't']'\6' b, \)0\''\:5 .
<br />
<br />Square Fee t.
<br />
<br />6'
<br />
<br />He igll:
<br />
<br />RESIDENTIAL:
<br />COMI'1ERCIAL :
<br />
<br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S,',
<br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS,1'*
<br />**COPY OF CONTRACT REQUIRED.
<br />
<br />PERMTTS REOUESTED
<br />
<br />BUILDING
<br />
<br />$ 6&,100
<br />de,e) AMP Service
<br />$ Ztob{)
<br />
<br />Valuation of Total Construction
<br />
<br />ELECTRICAL
<br />
<br />Florida Power Corp,
<br />
<br />_\-i.R,E.C.
<br />
<br />~".
<br />_~ECHANICAL
<br />
<br />Valuation of Mechanical Installation
<br />
<br />_PLl'?'1BING
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />TYPE OF CONSTRUCTION: Y Block
<br />FINISHED FLOOR ELEVATIONS: 55'
<br />
<br />____Frame
<br />
<br />____Steel
<br />
<br />Other
<br />
<br />FT,
<br />
<br />******************************************
<br />
<br />CONTRACTOR G k I
<br />M ,A., . , _ \) N.,S- ' 1V',.c4-\ ()-" 1 '("' ..
<br />BUI LDF:R Company 'T' "-' ~ ~e.
<br />,\~ c- ) State Cert. or Regist. If C~C 03S1 ~
<br />Signatu~~_ ~~~ City License Registration if e>5
<br />.***************************************** '
<br />
<br />F:! F:CTRTCT AN
<br />Si~nature~~
<br />
<br />Company MA\(..4-~ V h \-e~l'~
<br />
<br />~ ~ 0 State Cert. or Regist. if
<br />"'. \J,-,,-,~~->-- City License Registration IF ;)..-1 \
<br />****************************~*************
<br />
<br />Signature
<br />
<br />.e,,{ L')
<br />
<br />compan~ Col b ~ 'SAY Nc:S ~?I '^tn ~~N-S
<br />~ State Cert, or egist. ,; K'~OD""'4;!'
<br />4/ tv/v---<"-') City License Registration;fr .\S5' ,
<br />*;;l * * * ** * **** *** * 'II: * * *;it * 'i, * >I- * * * * * *,~ * i, ,', *,~ t, ,', ,',
<br />
<br />Company BA 'h~ <.. GA'~ i' -A I~, 0. ,:
<br />~ ~ J~ State Cert, or Regist, II -9 - 0.:3 'J48.
<br />tlA...-,) '- City License Registration 'F 78
<br />******************************************
<br />
<br />PL L'/'olR F:R
<br />
<br />MECHANICAl
<br />
<br />Signature
<br />
<br />OTHFR
<br />Signature'~ ~~~
<br />
<br />Company ~ U IVI~.0 <e OO~4 /\/--=) - .
<br />State Cert. br Regist. iF l=\t!.... 60<P/lc'-f'i<
<br />City License Registration if .5~
<br />
<br />, r
<br />'..J
<br />
<br />******************************************
<br />
<br />APPLICATION APPROVED BY
<br />
<br />PER~IIT OFFICER,
<br />
|