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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />F ./ <br />L~jL~/9S <br />ILL !J/~ <br /> <br />APPLICANT ~flfl.) CO~~w:::6I2~ _ <br />ADDRESS Sf G ~ -s.e S4 W.e~-r-~~ PHONE (BZ. ()82~ <br />OWNER '1Y\a.. * ~. ~b 'in c..CA.,t{ <br />JOB LOCATION 4q~0 \lo~ ~~~-h--Z'~LOT SIZE_L- AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. '.' <br /> <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br />_Sign/Temp. _Sign ~- ~ ~ _Hove _Dem<)ll~ <br /> <br />PROPOSED USE: _Single Family <br /> <br />_H/F <br /> <br />_II of LIni ts <br /> <br />_.'I/H <br /> <br />_Commercial <br /> <br />_Indus t . <br /> <br />_Swim. PeJ01 <br /> <br />Othel <br /> <br />~ <br />1 <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUlLDING SIZE: <br /> <br />X_I <br /> <br />Square Fee t, <br /> <br />He 19i: <br /> <br />RESIDENTIAL: <br />CotH1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLA~S & (1) SET ENERGY FO~~S. <br />ATTACH (3) SETS OF BUILDING PUNS & (1) SET ENERGY FOR~IS. H <br />**COpy OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />ELECTRICAL <br />/ ~f <br />~:1ECH.-\NICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_\~,R.E.C. <br /> <br />$ <br /> <br />Valua t ion of Mechanical Ins L.llla t ion <br /> <br />_PLl~BING <br /> <br />GAS <br /> <br />ROOFI~G <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 /> <br />CONTRACTOR SECTf9~ ~~1~ <br />Company r>. J'^ 11 :'(\ <br />State Cert, Regist. II Q&e..-()3~~ <br />City License Registration U <br />****************************************** <br /> <br />ElECTRTCTAN Company MGL-t.D;] J::;.kL~ie" <br />;;20 1/1~f()/-L1-- State Cert. or Regist, il <br />Si!:'nature '.. i,-V .. .(Y.fy:. .- City License Registration IF 4.\ <br />****************************~************* <br /> <br />2. .;l.:;;l.- <br /> <br />PU;l.jRFR <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration :j <br />**********************~******************* <br /> <br />Signature <br /> <br /> <br />Company ~~~ ~ A-N)~ ~ . <br />State Cert. or Regist. I.~ BABdC.J~ 6 <br />City License Registration 'I ~~ /7 <br />, <br />****************************************** <br /> <br />OTHER <br /> <br />~ Company ~c.~ c~~~ <br />~ . State Cere. "egist." iZ-C DO (.,/&. \;r <br />"'----' City License Registration II c.)f2J- <br />~ ~ <br /> <br />****************************************** <br /> <br />"'-'~ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PER~IIT OffICER. <br />