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<br />APFLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~ Y. fv'\ A rJ (10 (\)''''''-~1<.LAC~() ,J <br />ADDRESS ~,:-~~ --5'\ '3:}S S Q, ~lt \.A).Z. h.l ~PlIONE 7'( 2- <br />OWNER -=rNDCpeN DA~+ ~be ~-W l+h <br />JOB LOCATION lo~.:>lS- l\J. GAlt ISluD <br /> <br />&Oq4- <br /> <br />LOT SIZE_~ AREA SQ,FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.'.' b~- 2<0 _.~ 1-0010 - O~400/00o.3o <br /> <br />~:air <br /> <br />Inst3l! <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <br /> <br />____Sign/Temp, <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demol,- <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____II of Uni ts <br /> <br />____~l / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim, Pool <br /> <br />Othel <br /> <br />~. <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUlLDING SIZE: <br /> <br />X_I <br /> <br />Square Fee t. <br /> <br />He q:.:I:' <br /> <br />RESIDENTIAL: <br />COM.'1ERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS. ,'d <br />**COpy OF CONTRACT REQUIRED. <br /> <br />0"P Al rz... PERMITS REOUESTED <br /> <br />~e>c>+ - <br /> <br />BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_I';,R,E,C, <br /> <br />~t <br />_~ECH:\NICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Instull3tion <br /> <br />_PLl~BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration ff <br />****************************************** <br /> <br />BlIILDER <br /> <br />Signature <br /> <br />ETECTRTCTAN <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration 11 <br />****************************-************* <br /> <br />Si!Cnature <br /> <br />PIl:~lBrR <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration :1 <br />**********************~*************~**.*~ <br /> <br />Si~n3ture <br /> <br />MECH<\NIC:\! <br /> <br />Company <br />State Cert. or Regist, I' <br />City License Registr;)ti.on 'I <br />**.***~.*************.**********~********* <br /> <br />Sign3ture <br /> <br />OTHER <br />Signatu~- ~ <br /> <br />..---. <br /> <br />Comp3ny R':jl'Y\A-~ CO '\.H~~v\.{ ~O.0 I'I,(J <br />State Cert. or Regist, II p-c.. OC)(P/(P4fJ <br />City License Registration II SP:.> ..l 7:!::> <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PER~l IT OFFICER. <br />