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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRIlILLS <br />, BUILDING DEPARnlENT <br /> <br />APPLICANT Ii t i( InfEe~:flf~ <br /> <br />ADDRESS < ~~~;)LD ( 5(2 ~ lAj. <br /> <br />OHNER ~K- =Cf)+{>t~\.+-e- <br /> <br />JOB LOCATION Ld*:J- z<:,f,hk'd~ \)12 LOT SIZ~X I{;() ,\REA SQ.FT.(ySOO <br />~ 067 ::Grrtl-I(I IT;;;;/fic '/Z" <br />LECAL DESCRIPTION: LOT(S) C~l ~) BLOCKraJ1J SUBDIVISION ?pphqe1Pir:lc1~ <br />) ~0()LXJO ~()3() , <br /> <br />/' '!J (3 ______ <br />CjS I~ <br />~ <br /> <br />PII~N~71g -,35)u <br /> <br />\-tORK PROPOSED: Construction _Addition _Alter::ltion _Rcp8.ir _Install <br /> _Sign/Temp. _Sign _1'love _Demolish <br />PROPOSED USE: ~Single Family ~M/F _if of Units , *-~l/H <br /> . <br /> Commercial _Indust. _S\vim. Poo 1 Other <br /> <br /> <br />PARCEL I.D.~I <br /> <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: ;)2:; )(,5 ~ <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHr-1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING l'Lt\NS [, (1) SET ENERGY FORl'lS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS, ~'* <br />**COPY OF CONTP~CT REQUIRED. <br /> <br />$ <br /> <br />c0 LIDO 0 [). <br /> <br />, <br /> <br />PF.RMTTS REOUESTED <br /> <br />V <br />_BUILDING <br />V <br />_ELECTRICAL <br />V <br />_~lECHANICAL <br /> <br />V PLill1BING <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H,R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.' <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 />\ \ ~ n. n CONTRACTOR ~ ' .1 I <br />nUTT.DER \'-.J\~~ilL ~~: ~~:~:n~e~ :~R~~7~IS1(~~ <br /> <br />Signature ' City License Ecr'.L~ ('[:\ t, i.nn i.f ,:x51o <br />****************************************** <br />--~ --:::::. <br />ET.ECTRTC~ ~-_.::)~~-~ <br /> <br />Company c* t-\-- -:\csKC\O'_4\. EJ!. \ ~. . ~'*' f () i Q{: <br />State Cert. or Regist. 0 <br />City License ReGistration 0 <br />*******************************~~*~~*~~*** <br /> <br />PLUMBER ' Company' f"Je_~\~Cf)"'-. '-~ ~I\/\C~ <br />~/_ -,..c::::-.::::.:- ~. State Cert. or Regist. i.! v <br />Signature ~_.._..,:-: ~-'. :-:----, City License Registration il 10 c) <br />, ********** ***************************** <br /> <br />tlF.CH~tllC~ . Company DR-he r-~J),'DpCU1q <br />~ ~ State Cert. or Reg"st. " <br />Signature ' E' City License Registration ii ~ .17 <br />,,* '* '*.. - .......... '*....* **. ,,* *,' ",.."" <br /> <br />Si!!nature ~ <br /> <br />':?:'S <br /> <br />~ ft( e <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PER1HT OFFICER. <br /> <br />~ APPLICATION APPROVED IW <br />