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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. -;') <br />U C. '- <br />~.....--. / / <br />~' 1\ r I Y -- r \-::, <br />7- <br /> <br />gu,'/k.r ,2Ac, <br />. <br /> <br />7c1? 'JCVles ~.-' ~,1es 0 J,//. <br />Kr'4c- LJu/l~ ~C <br /> <br />JOB LOCATION ..3 9.$"""/2 *€?;1;1ec.~ ~ue. <br />1// <br /> <br />~~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE ;?Y'/- f/.22 -?2 ~O <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE 7S- x/7'~ AREA <br />SUBDIVISION .L./A (O~IC <br /> <br />SQ, FT. /1';t!O()~ <br /> <br />~c/fi- <br /> <br />PARCEL I.D.~F /,;2-2'-2/- OZl?O--Doo6D -O,//'O <br />WORK PROPOSED:~ Construction ____Addition ~Alteration ____Repair ____Install <br /> <br /> _Sign/Temp. _Sign - Move _Demolish <br />PROPOSED USE: ~gle Family _M/F ____# of Units __M/H <br /> _Commercial _Indust. ____Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />. SIZE: ,2% ( Xsn /3'f( g( <br />BUILDING Square Feet. Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*'" <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORf-IS."'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />I <br />_MECHANICAL <br /> <br />$ 9"S: f..ADO. ci) <br />~ AMP Service <br />$ j I 9z.S:0fJ <br />. <br /> <br />Valuation of Total Construction <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />______Florida Power Corp. <br /> <br />_hl.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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 /> <br />CONTRACTOR SECT~ / ,/ r-r: <br />Company ~e...&u'/oCeN' H'~, <br />State Cert. or Regist, iF r>~/df4j9'?...r /' <br />City License Registration iF ;r <br />************************************ <br /> <br />Company t,A.J //~} J- &f~. ,7/t / ~ ,~U > <br />State Cert. or Regist, iF eA'C:!'v/o7J2- / <br />City License Registration 1F -L'7 7~ <br />******************************** <br /> <br />PLUMBER <br /> <br />Company .4. c, P ( VI 11'110) ~ <br />~_ n /' _. State Cert. or Regist, ,f Do ~,.t 7 63 <br />_ L ~ City License Registration ;F 'i q <br />****************************************** <br /> <br />/ <br /> <br />Signature <br />I, <br /> <br />MECHANICAL JJ tt I-kr- L e. ~. t..< Company C c6.w #~~ ~ l'::Oi) /r~ <br />State Cert. or Regist. i,! ',I)- e"'C, 09.n <br />Signature A/~ ~ City License Registration lfr ' l){ <br />****************************************** <br /> <br />l/ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERf-lIT OFFICER. <br />