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<br />APPLICATION FOR PE1U'I1T <br />CITY OF ZEPHYRIlILLS <br />BUILDING DEPARnlENT <br /> <br />J"-/J--- r cr <br /> <br />APPLICANT ~ c::L~ Il\JfER sfA.T-:r.. <br />ADDRESS 3S"" 2'-(01 H uJ Y 5~+..'{..0EST <br />/J/(/w1iM ('2-1LJ ~b_ IlA fl- <br />Jon LOCATION 510 -;( C-O/TA-tf<2- <br /> <br />Oh'N ER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.!! <br /> <br />PH~~~t3 ) l S" Z- -7 z-"1 b. <br /> <br />LOT SIZE~X ~(")i\REA SQ.FT. <br /> <br />BLOCK <br /> <br />sunDIVISION <br /> <br />\WRK Ne,~ Cons.truction _Addition _Alterlltion _Rcp8.ir _Install <br /> I <br /> _Sign/Temp. _Sign - t'lovc ~DemOliSh <br />PROPOSED USE: _____Single Family ~M/F _Ii of Units ' 1'1/ Il <br /> _Commercial ~Indust. _S\vim. . Pool Other <br /> <br />& Health Department Approval <br /> <br />,riu'1; ~T Square Feet, <br /> <br />(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />(3) SETS OF BUILDING PLANS << (1) SET ENERGY FomIS.~'* <br />OF CONTRACT REQUIRED. <br /> <br />_Restaurant <br /> <br />IlUILDING SIZE:~ 5 x3k., <br /> <br />RESIDENTIAL: <br />cmmERCIAL : <br /> <br />ATTACH <br />ATTACH <br />**COpy <br /> <br />XnUILDING <br />~ELECTRICAL <br />LI'IECHANICAL <br />'yJ PLilllnING <br /> <br />~ ~ s7hJ <br /> <br />/'SV. AMP Service <br /> <br />$ <br /> <br />s <br /> <br />~~."'.>v <br /> <br />GAS <br /> <br />HeiGht <br /> <br />]:.F.RMTTS REOUESTED <br /> <br />vriluation of Total Construction <br /> <br />,*-Florida po"er Corp. <br /> <br />_",.R.E.C. <br /> <br />Valuation of Mechanical InstDl13~lon <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />Plt/J. <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br />FINISHED FLOOR ELEVATIONS: fv;/ld- PT. <br /> <br />*********~******************************** <br /> <br />~ONTRACTOR 0E~ <br />. Company \:::L- e :r: ~ f -n;]~:s;r1\ -r -E <br />State Cert. or Rc~ist. 0 <br />City License I~cr'.i;,t.r:llinn iI -4 ~~ :;1'77 <br />.~************************************~* <br /> <br /> <br />Company Cc:L-t-( .:Jl)dZf) A-N ~(. <br />State Cert. or Regist. U <br />City License l~cgi.str:H.ion!i ~ /70 <br />*********************************~*** <br /> <br />S~V. <br />: <br /> <br />Company . tJ t:l-sa u <br />State Cert. or Regist. ~, <br />City License Registration U <br />****************************************** <br /> <br />Company (3 A-\-l- e .:; P 42-D P A"rJ E. cl-fY J e- <br />State Cert. or Regis t. i.! ---H) - <br />City License Registration 1.' ~ /1 <br />**************************************** <br /> <br />Signature <br /> <br />nTHER <br /> <br />rZ Y (l) A-N <br />~ :J-7b <br /> <br />-: <br /> <br />.yo <br /> <br />Company <br />State Cert. or Rcgist. U <br />City License ReGistration, <br /> <br />Signature <br /> <br />PEmlIT OfFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />l <br />