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<br />APPLICATION FOR PERl>lIT <br />CITY OF ZEPHYRIlILLS <br />BUILDING DEPARnlENT <br /> <br />~u 'iL'/''J--~'r <br />j1- 10 . <br /> <br />APPLICANT -1d- ~~ I l\.fTt:.R: srnT-=r. <br />ADDRESS -35'" z..lo 1 H uJ Y 5 ~+ ,.' (.0 EST <br />OI-lNER J:I A (ltl~ 4. VI1. tLS''[ '= M, $cHJV1 lTff ~ <br />JOB LOCATION ~Ol'~ R-:ti)(f<i(~H1It bR- <br /> <br />OS', BLOCKOOaIJI) SUBDIVISION <br />3'-1b -:11 -or30-~OOOO- 0510 <br /> <br />PlI~NI~l~~ S" L- - 7 Z-: f b' <br /> <br />Jlt./ 'I Id'1. f~ <br />LOT SIZE Or; X 10o.'t]i\EEA <br /> <br />LEGAL DESCEIPTION: LOTes) <br /> <br />Z f:iJHc((l <br /> <br />SQ.FT. tJ(()O <br />R r.() (-(..., <br /> <br />PARCEL I, D. {! <br />WORK PROPOSED:.iX.J:le\, Construction <br /> <br />_Addition <br /> <br />_Alteration <br /> <br />_Rl2pair <br /> <br />_Ins tall <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single family <br /> <br />_Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />, .~~l/ H <br /> <br />-":",,,-M/F <br /> <br />_ii of Units <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim,. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant & Health Department Approval <br /> <br />IOO~ <br /> <br />).~&, <br /> <br />Square fee t, <br /> <br />. <br /> <br />t <) r Oil.. ~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHl'lERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS Of BUILDING PLANS (t (1) SET ENERGY FOR!-IS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />:EERMTTS REOUESTED <br /> <br />J BUILDING <br />7ELECTRICAL <br />.-L~lECHANICAL <br />/ PLilllB~NG <br /> <br />$ <br /> <br />dJo, 50 0 <br />J50 <br />$ -1~ O(J <br />- I .' <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />-*-1-l.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />,41 H, <br /> <br />Other <br /> <br />FINISHED fLOOR ELEVATIONS: FT. <br /> <br />-f( * **-1(*..'e *i:*"*** *********** * ofe * -;e ..'cofe '1e..'-: .:c ..'e ....; -1; 'I'; :'; ....: ..'; * ..'; <br /> <br /> <br />.cONTR~~~~~n~E~lil:i-e :c ~f--rfJ'Z~mT-E /' <br /> <br />State Cert. or F.c(',ist, ii ~~ <br />Ci ty License FCf','i~; ('.1';\ L i.nn il ~ '-l-7- <br />"' * 1: ** * * * * * * * ******* * * * 1,,', i, 1: * 1, i, i, i, i: ,', ,', .:,;, i, ,', ,',;",.:: -. <br />. "') <br /> <br /> <br /> <br />.,.*.***m***..*mE;~;~~:~;EX~~~ :~~; ~~ <br /> <br />7 <br />Company :..JJ t::1---S0 U (Z Y ('() A----N <br />State Cert. or Regis t. !.~ ~ <br />City .License Registration ii ..r~, J.1<t <br />***************************************** <br /> <br />/' <br />t/ <br /> <br />, . <br /> <br />. Company 6A-H-i(.." ~E. cl--I'Y~C <br />State Cert. or Regis t, 1'- <br />- tl~ . City License Registration " / <br />>.....*...*********...***.*..********",.** ~7 <br /> <br />DTHF:R <br /> <br />Signature <br /> <br />Company <br />State Cert I or ReGis t. 1,~ <br />City License Registration, <br /> <br />****************************************** <br /> <br />PER~lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />