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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRlIILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br />/fI~ \- uO /tU <br />t1!J ~ /}Cf r <br /> <br />.tCc/~ 6'U/~J'. .-2A c. <br />, { <br /> <br />ADDRESS ?d? ~LJ M.~; d..!..-rc.r Cry /~;/,' <br />K0f9-e- f1ol"~ p.21e, <br /> <br />I <br /> <br />JOB LOCATION.3 9SS~4fe6.?~w()r)of gJ;yk <br />LEGAL DESCRIPTION: LOT (s) / /? BLOCK <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7 p-/- ~Y2 2 - c:P 2l:/ IJ <br /> <br />OWNER <br /> <br />LOT SIZE 7S- ~ AREA SQ. FT . 3 zoo 'I- <br />SUBDIVISION /P1~(JcJR' h~6 <br /> <br />PARCEL I.D.# <br />WORK PROPOSED: ~ Construction <br /> <br />_Addition <br /> <br />--,--Alteration <br /> <br />____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~le Family <br /> <br />_Sign <br /> <br />____Move _Demolish <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />._M/lI <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: .30 x..so , <br /> <br />/s-oC) <br /> <br />Square Fee t . <br /> <br />r' <br />~ <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY rORNS."'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />'V~ ooc-',(j() <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />~C;)O <br /> <br />AMP Service <br /> <br />______Florida Power Corp. <br /> <br />_\\T.R.E.C. <br /> <br />I <br />_MECHANICAL <br /> <br />$ /92J":OD <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~ock _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Signature <br />f, <br /> <br /> <br />CONTRACTOR SEC;t-O~ // <br />company:';"~e 6u/'~ -4; e- <br />State Cert. oi. Regist. H 'dCOf/c:P~~ <br />City License Regi~tration IF /..,sI <br />***** . .********************************** / <br />'J WA'tNf '" :-(c:;-;J)6Y . . ~. / ~ . __ . . <br />,r t::-I.. c Sv..$ Company 1lI/1Z Y ,,5 ULv/A' /'c. 5/./ S <br />State Cert. or Regist. l'!l.L'~~# .J'~ <br />City License Regis tration iF 7 7~ <br />* * i!;~*x. :. ~de*-:-**S:***'" * * ** *1,*,,< *,,<;,~,;, ,', ,', ,', ,',;, ,', ,', <br /> <br />, Ct1l/J'tertJ^ Company 4- C, P/1II111 L'I? 5 <br />eState Cert. or Regist. !.WbOOb763 <br />, .~€ity License Registration iF....r:~ Lj.'1 <br />. , <br />****************************************** <br /> <br />Signature <br /> <br />Company [COAO <br />A.. I J.___ State Cert. or Regist. IF <br />~~ ~ City License Registration <br />****************************************** <br /> <br /> <br />rI- c~t\l <br />.....4- OO&D x.rD <br />~F 7 ?~/ <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt-lIT OFFICER. <br />