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<br />APPLICATION FOR PERl'lIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />~~]S~NT "Ry~V\ A. ~
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<br />,ESS~': 'ioB'~:) s ~. \"2.. S 4-
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<br />.~tb'WN t;;. '~~.N~.' C ~ ftJ S 11'1 e-fL-
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<br />;"(J,bB'tOCATlONSl4S Y6KJC~~'V- DeL LOT SIZ~~ x<i.o AREA sQ,FT,4-3,).()
<br />{1,~,(\,!2 .,' .-' 'B L
<br />r:~~.GA,;LDESCRlPTION: LOT(S) BLOCK SUBDIVISION ~c.a~ewcoo
<br />
<br />~~;\;~~;CEL 1. D. i.';' ~b- 2l.v ~ ~ \ - 0\2.0' OC-..lOOO' 0'02-0
<br />~;" .'/.."
<br />!;t{t,~RKPROPOSED:~Newconstruction _Addition _Alteration _Repair _Install
<br />':I;~;,f;"""i'n'.,:);. ,.
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<br />.'h:.,'........,\~.'~"J,';O',. ,~S 19n/Temp.
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<br />'"'/;\\;~1~:~D~:)J.~)i~:;')Z:j Single Family
<br />
<br />C/,. .';;i','ddt, ,. .
<br />
<br />C CH'\:) ~ kLA.C.A \ 0 ~\ ~ N C! -
<br />'v~ - 2Lp~~ ~h~tl~
<br />
<br />PHONE 182..-0 BJ-S.-
<br />
<br />
<br />_Sign
<br />
<br />_Move
<br />
<br />_Demolisl:
<br />
<br />_M/F
<br />
<br />_II of Uni ts
<br />
<br />._M/H
<br />
<br />_Commercial
<br />
<br />_Indust.
<br />
<br />_Swim. Pool
<br />
<br />Other
<br />
<br />;\..1
<br />'~i-
<br />
<br />:~t,':~
<br />,.:; {'" ......, ,.... -:7-Res ta~rant
<br />
<br />.. 'D~~Cd'~i~~:~f')'~"~ x65 t
<br />
<br />", ,')~:>',:'
<br />
<br />& Health Department Approval
<br />
<br />20G,'(
<br />
<br />Square Fee t,
<br />
<br />'EJ
<br />
<br />He igll (
<br />
<br />(2) PLOT PLANS & (2 ) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.I1S,:: '.:
<br />(3) :SETS OF BUILDING PLANS & (1) SET EN ERGY FOR~IS. H
<br />OF. CONTRACT REQUIRED.
<br />
<br />;;~a~ [,
<br />
<br />, ;$,"~~ff.~J ~',.,;,.:,,:
<br />::,X'(>
<br />UILDING $
<br />~{i~\ :;;~"~,i"~':" :y: '
<br />icELECTRICAL
<br />::::::~:~:J'~fl'f~ij' "
<br />.HECHANICAL $
<br />:{~j:,:)~ ~?~.:' :~~.:',;~,::-ir\ ,:-:"~2.
<br />. ,'.'Pl!trMBING;
<br />
<br />PERMITS REOUESTED
<br />
<br />
<br />Valuation of Total Construction
<br />
<br />,';
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<br />J
<br />
<br />AMP Service
<br />
<br />Florida Power Corp,
<br />
<br />_\y,R,E,C,
<br />
<br />g..SoO
<br />
<br />Valuation of Mechanical Instul13tion
<br />
<br />GAS
<br />
<br />ROOFING
<br />
<br />SPECIALTY
<br />
<br />'\~6~~,,"~~~~~TR?5J~;~N/'hBIOCk _Fr~me
<br />
<br />'""/4~!,_,}iCJ'f'~~\?; .~xJ:)-.l-.., 'J.i ,~. ~'., ....
<br />\gt)'!:itooki:EtEVATIONS :'5S FT .f6I!E
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<br />.,.J,.,~~~~~\'-. J' "(: :~:~J~'.;
<br />,"!j "
<br />
<br />_Steel
<br />
<br />Other
<br />
<br />******************************************
<br />
<br />CONIBACTQE SEC~i .
<br />Company. lV\ftN CONS~v<:-\-L:,,() IN<':
<br />StateCert. rRegist. Ii <:.t;c..-O=3.'Sr~~
<br />City License Regis tration II <e\ 5
<br />~***~**********************************
<br />
<br />Company t'A.o tLt-6 f~ b \ e~~; Q..
<br />tate Cert. or Regis t. II R. _ . ~~
<br />lty License Registration i! 4'
<br />*****************************************
<br />
<br />\ Company Co \ 'a t 3" A-Y ~e. S '-~L.^rn \:H ~ S
<br />I State Cert. or egist. ;,i R F '::::x:.:>LoG:,,--\lo~ ..
<br />i ty License Regis trn t ion:r \~.~
<br />~~************~*********~*********
<br />
<br />********************************~;****~~**~*
<br />
<br />Company ~~ "" ~\ S. GA ~ --t p\ l~
<br />State Cert. or Regist, 1.= ~f6- 643~45
<br />City License Registration ,/ ~7 8'
<br />
<br />~
<br />
<br />Company ~V\/'~l CO,.~<;-t .
<br />State Cert. r Regist. Ii gc.-C:X:>(OIG-,4-e
<br />City License Registration II 6e>
<br />
<br />BY
<br />
<br />
<br />********************
<br />
<br />PER~lIT OFFICER.
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