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<br />4~AKE r:,-~ (2./ DIJ Iv1 G 0 I U/ C C!. L art ~ <br />'ER'S ADDRESS '"58' 35 L~ARIC.C:--!J SQ L{},'---Rc:~ <br />JOB ADDRESS 38 /(O() L~ I"t-Rl<-'-C--r 5~ L{!r12 G <br /> <br />2- /I; II, <br />2 'j.j; / /<j <br />. <br /> <br />'/)%~' <br />~ /0'/1-0 I <br />~ / <br /> <br />PHONE 8(5- 780-/371- <br />j:'L, 3.3 S.4() <br /> <br />,rf.. 5:s.5'1CJ <br /> <br />'" <br /> <br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.' (/) 2... z.~-?. j~O () 10.03 'l ()-oot!) 30 <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED :_New Construction _Addition ~teration _Repair _Install <br /> _Sign -'love _DeJIOlish YI~ <br />PROPOSED USE: _Single Fuaily _M/F _, of Units _M/H <br /> _eo..ercial _Indust. _Swim. Pool _Other <br /> <br />Restaurant & Health Depar~ent Approval <br />13l( (L D-Ou..F c r 0'- {) pu. r)L Ix. INTO 11 G f) Ic:-rl L 0 ;::-f:'/~e;-J <br />DESCRIPTION OF WORK: /0 C!-LU-11l,uv- f"21L1llduJ6- 7()ClO S.h /.1(;;22 ~ING 1A:.IlrH t;:LC-V~e <br /> <br />BUILDING SIZE: \ 6':3 X 17 0 . "2 (, 0 10 Square Feet. 2 Z Height <br />."jt- 3 ,3 ,,(J (j J:ivcL U-() "1/ u- l.{ 6: i2/f'N I '..../ c;-- <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. <br />COMMERCIAL ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. \ t- <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CO~STRUCTION. f!9. 6a~5 <br /> <br />PERMITS REOUESTED GtYfL fJj:f3 t:,/ <br /> <br />$ Valuation of Total construct~J <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_MECHANICAL <br /> <br />W.R.Ep- <br /> <br />~ ~'r\ <br />SPECIALTY '/1 ~ IJ-~ - ' <br />TYPE OP COIISTRucnON' _Block _FraIIe _Steel 7 ! J' b \ 1(,\ <br /> <br />FINISHED FLOOR ELEVATIOIIS:......::~.......::.:::::::.::.:::::.::::.~ YES <br /> <br />CONTRACTOR SECTION ~ <br /> <br />COMPANY /-t, ~ :5tJJ\J B (J / <-0 /ij6- (7~, <br />1/11 /J/ . S~te ~ert. or Regist.., CGCO 5tJS <br />~ ~~ C1ty L1cense Registrat1on' ;~~~ <br />************************************~**..** I I t7<.~ <br />,.~ .- <br />COMPANY V /1, /..r;", FffQ/l/Dl <br />State Cert~ or Regist. , <br />City License Registration , <br />* ******************************** <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />NO <br /> <br />Rffil.Da ~ <br />Signature <br /> <br />ELECTRICIAN <br /> <br /> <br />Signature <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration . <br />* ************************************ <br /> <br /> <br />PLUMBER <br /> <br />b <br /> <br />MECHABICAL .. A ..4 / <br />Signature ~~ ~ <br /> <br />, . <br /> <br />COMPANY Sr/fhN AJrz <br />State Cert. or Regist.' G" Me 0 41 D'7 b <br />City License Registration' Iq~~ <br />************~***************************** <br /> <br />OTRR~"gF~_" <br />Signature ~; <br /> <br />COMPANY <br />State Cert. or Regist. , <br />City License Registration # <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br />"7PF~. '. 'RIIJKf-t.-I!..., <br />~IG) <br />. L-O~I 1<,.4'; ti-;il':- ...... <br /> <br />PERMIT OFFICER. <br />(] 0111 ?I9Ai-l_ ,/?o~~ H~~:5;fi1dl2t7s/,t/{!, <br />(~/. III( ;L Ie!.., -# ~ 0- . <br />