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<br />APPLICATION FOR PER'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />I <br />/:Jr<t flj~ /;11~!& p:!:-- <br />(J 1#7 c9D ,~ <br /> <br />APPLICANT ~yrnAN COf0~lA..C-\..\ON <br />ADDRESS :s I ~~ ~ S~, ~-4 - W, - Zz.p~~ <br />OI'iNER WI l \i~rv\ GA--'e<2.e.-\t <br />JOB LOCATION 5qo~ -G,-eeeN ~ ila1'L <br /> <br />PHONE (~Q--08.gJ,;- <br /> <br />LEGAL DESCRIPTION: LOT(S) ~~ <br /> <br />BLOCK <br /> <br />LOT SIZE~x8 ~ AREA SQ.FT. 5950 <br />SUBDIVISION W~L.h:t~ <br /> <br />PARCEL 1.D.I.' \0 '-2(;'.;;}, -0\9-0'~ 00000- ossa <br />WORK PROPOSED:~w Construction ____Addition <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~gle Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demoll..,l, <br /> <br />_M/F <br /> <br />_iF of Uni ts <br /> <br />_:'l/H <br /> <br />_Commercial <br /> <br />_Indus t. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />~. <br />, <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUnDING SIZE: 30 x5'tB I <br /> <br />\\A3 <br /> <br />Square Feet, <br /> <br />8 <br /> <br />Hel;:l: <br /> <br />RESIDENTIAL: <br />COM.I1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS.& (2) SETS OF BUILDING PLA~S & (1) SET ENERGY FOR."1S <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'lS,H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ -4'\) ~90 <br /> <br />;).OD AMP Service <br />$ 2..C)OQ <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp, <br /> <br />-.0:',R,EC <br /> <br />_ELECTRICAL <br /> <br />"1' <br />_,"1ECH,~NICAL <br /> <br />Valuation of Mechanical Inst-JIL:1tiun <br /> <br />PLl~BING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block -lLFrame _Steel <br />FINISHED FLOOR ELEVATIONS: ts~ FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTI~ -' ~_ -i <br />BIITI,OER Company W"'~ ~.Q)'\ <br />~' ~ State Cert. or egist, II e.Be-03S'1'34 <br />Signa tu 'l.-^- c.....r- Ci ty License Regis tra t ion II <br />, ****************************************** <br /> <br />ET FeTRTeT AN Company '1Y\CL\.~ &.c.~ <br />/1?~ " State Cert. or Regisc, II-E:'R-oo'~44"1 <br />Si..nature I Y-- J) City License Registration 1.' ~,l <br />* * * * '" * * i, -Ie -Ie * * * * * * -= * * * * * * '" '" * ;, -Ii I< * ,~ I, I, i, " * * I, i, i; " <br /> <br />PLl'''lRFR Company '-ct:1Q.iU0..4 ~-u:..u <br />~- "j I f State Cert. or Regist, ;' Rl='- bO~~53 <br />Signature ..~ l4 ~ CityLicense Registration:i see.. <br />J * * * * * Ie * '* * * '*.. * * * * * * 'll * *:ir * 1r 'Ie * ir * "'.. "Ie 'it"k * 1, ~': * ~': -!: ,', ~': <br /> <br />Comp.ny ~ S ~c..v~ .~ tkCL <br />State Cert. or Regist, 1.= BA8-<..'A 4'0 <br />Signature City License Registration '1 IE> <br />**************************************** <br /> <br /> <br /> <br />OTHFR <br />Signat~,~ <br /> <br />Company ~Cu.I' ~-t-~y, <br />State Cert. r Regist. Ii ~e.-o CCo\<04B <br />City License Registration iF S~ <br /> <br />.r <br />'-' - <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PER!"lIT OFFICER. <br />