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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnlENT <br /> <br />APPLICANT ~ 'i....~ ~ER: s&f-=r.. <br />ADDRESS 3 S Ltc 1 l-h.0 Y Situ [.0 g;ST Pll~N~ S' Z- - 7 7-110 <br />OI{NER 6-iiil2ff'z S']/!. ,~I( A .. <br /> <br />117/,J 0/klZ,1[/Z 5-"... L.OT SIZE' ~/JX.' F!~- (y()/ <br />Jon LOCATION. - _~.:U ~ AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT (5) Ii? 9 {j BLOCKOt'i}110 SUBDIVISION (0';:: {j..iJ,;;rJ <br />PARCEL 1. D .11 it/- - ).0 -;2/ (;270 {J0006 (, ~?q(; <br /> <br />HORK PROPOSED:_Nelv Construct.ion _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~SinGle Family <br /> <br />_Sign <br /> <br />_1'love <br /> <br />_Demolish <br /> <br />.-:.--M/F <br /> <br />_11 of Units <br /> <br />. ._~l/H <br /> <br />_commercial <br /> <br />_Indust. <br /> <br />_SI"im.. Poo 1 <br /> <br />Other <br /> <br />nUILDING SIZE: <br /> <br />_Restaurant & Health Department Approval <br /> <br />gGf' <br /> <br />;~ t.j X 3 (-, , <br /> <br />Square fcc t, <br /> <br />J )7dri7 <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) Sf,T ENERGY FOR~lS.** <br />COmIERC1AL: ATTACH (3) SETS OF BUILDING rLANS & (1) SET ENE:RGY FORt-IS. H <br />**COPY OF CONTRAGT REQUIRED. <br /> <br />:EF.RMTTS REQUESTED <br /> <br />~ELECTRICAL <br />j <br />_~lECHANICAL <br /> <br />AMP Service <br /> <br />vhluation of Total Construction <br />--*-florida pOloicr Corp. <br /> <br />_h'.R.E.C. <br /> <br />~nUILDING <br /> <br />$ <br /> <br />$ <br /> <br />Valuation of Mechanical Installa~lon <br /> <br />_PLilllBING GAS ROOFING SPECIALTY <br />TYPE OF CONSTRUCTION' _Block _Frame _Steel III H- Other <br /> <br />FINISHED FLOOR ELEV An ONS ~* '**.,,::~......~:*~.~~:!:;,. ~~ ~ ",t,&.1S T I Ai6- <br /> <br />CONTRACTOR 0F.CIIQN <br />. Company -Ldt:Lf' :r: t\f-rFl'Z.~mTt <br />State Cert. or EcCist:. !i ~ <br />Gity License j,cf'.i:; [..1";\ L inn'~ . ,2 9' 7 <br />****************************************** <br /> <br /> <br />Com pa ny C <::L-+-t .::ro d't.D A-N <br />State Cert. or Regist:, 0 <br />City Liccnse RCGistr~tion 0 <br />***********************************~*** <br /> <br />e:Lf(. S~V. <br />~ 170 ~ <br /> <br />Company jJ e1--Sa u JZ Y (Y) A-N <br />State Ccrt. or Rcgist. 0 <br />City License Rcgistrntion 0 <br /> <br />-K'J ~ <br /> <br />d. v-b <br /> <br />~ <br /> <br />Signature <br /> <br />Company t3A+\- e <s <br />State Cert. or Regis t. ('- ----"..~ <br />City License Registration ~! ~ <br />*~****************~*********************** <br /> <br />121:LDP~rJE. cl-fY/ C- <br />Ii <br />. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Rc~ist. u <br />City License Registration, <br /> <br />OTHER <br /> <br />APPLI CAnON ^ rPROV~O OY ~= ~ill(::.'J:j'H": *.c, '*" ,,,,,,.c. " <br /> <br />PER~lIT OFFICER. <br />