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<br />.rj~{ft <br /> <br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />p~~ -#~O <br />I L - 11.. err- <br />~J.~~~ <br /> <br />APPLlCANT R~I\.0 ~~ f<::~^^-<- <br />ADDRESS .~ 1 S9.~ 'S. e. c2>4- W .J.A* ~? .,~ PIIONE', 23 2 - C)B~5 <br />OWN ER O,y\. f'J\Q-A \ U f\ v\J IV Ah <br />JOB LOCATION~cd '<'7111- V0C'/Pc:rewoo '~~ SIZE(P~ x8~ AREA SQ,FT, ~[D <br />LEGAL DESCRIPTION: LOT(S)~BLOCK SUBDIVISIOI-J ~cDG-eLooo I::::> <br /> <br />PARCEL 1,0,1.' <br /> <br />\ O-"2lo d- \ - 0 \ d D .- (:) 6000 - 0 \ 1'1 <br /> <br />WORK PROPOSED: VNew Construction _Addition _Alteration _Repair _Install <br /> <br /> _Sign/Temp. _Sign _Move <br />PROPOSED USE: ~-ngle Family _M/F _II of Units <br /> _Commercial _Indust. _Swim, Pool <br /> ,. <br />'. <br />I " _Restaurant & Health Department Approval <br /> SIZE~ .~~ I (i 1&'4:3 <br />BU1LDING X 5'-10, Square Fee t . f3 <br /> <br />Dem()ll~1 <br /> <br />_~l/H <br /> <br />Other <br /> <br />He igll! <br /> <br />RESIDENTIAL: <br />COM.f'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'1S.: <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS, 1d <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ILDING <br />.....k::::fi. E C T R I C A L <br />~~HANICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ ~-J50 0 <br /><:"00' <br />C7 AMP Service <br />$ 'd4oo <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp, <br /> <br />~ <br />_\~,R,E.C, <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLl~BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _~ame _Steel <br />FINISHED FLOOR ELEVATIONS:~ FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SEC~ fj , <br />~ Company ~ u,~ ,~ <br />~\ Sta te Cert, or Reg is t, !I e.P.,e.- b'~L.=., 3~ ~. <br />L -- City License Regis tra lion II ~.:L ~ 'f <br />.. * * * * * 1< * * ,. * * * '" * of: ,. * * * * * -I: * * * -It * * -I< * * ,'r -I: " -Id: :': i: * * <br /> <br />Signature <br /> <br />P.TP.CTRTCTAN <br /> <br />&-- .~- <br /> <br />Company '--fY\~ E'Ju... Xu..G_ <br />State Cert. or Regist, /I G-fZ--~?'Y44 <br />City License Registration II <17 <br /> <br />,---,-.-. <br /> <br />Si..nature <br /> <br />***********~****************.************0 <br /> <br /> <br />Company @S +-1~ ~~ <br />State Cert, or R,egist. ,: En.. -OOj;:ift{q <br />City License Registr<1tion 'i _ 08'0 <br />*t*****.***********~**~.***~*******1~:~***** <br /> <br />MECH....NIc....r ,/ ) <br />Signatu~ .-:~~~ c:__-L- <br /> <br />Company ~Sv-':' ~ ~ c'-<~ i. A I e- <br />State CerL or Regist, I.: &A6' 64"3"\46 <br />City License Registri1tion:1 ~ /7 <br />*****.*******************************~**** <br />\~ f)- _.1- <br />Company K61:Vh~\/"" ~L'iY\A~"-C ~Jh <br />State Cert, Regist, Ii Rt- oo61l.:'t8 <br />City License Registration II 5E..' - <br /> <br /><-- <br /> <br />OTHP.R ~ <br />-~ <br />Signat~ - ~~ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />******************** <br /> <br />PER~lIT OFFICER, <br />