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<br />A?PLICATION FOR PERMIT <br />CITY OF ,ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'" <br /> <br />APPLICANT vJ W \ I [ )' ('q VY'\ t*J r +{.2) \ g' J r <br />ADDRESS ? O. Bo X- /2..5 2-.23:'t'o~i}h\frh I I Ls <br />OWNER M r 4 /VI ('s LF- t< C', \ ( En { ~ ;(,l vd S <br />f <br />JOB LOCATION .C)O L\ z. A;:t:b ~-:)+ <br /> <br />PHONE 782 - k,2L1 <br /> <br />LOT SIZE .SO X I tJ 0 AREA SQ. FT. 1oo0s-F <br /> <br />LEGAL DESCRIPTION: LOT(S) ,q ~ 20 BLOCK 2.G~ SUBDIVISION <br />PARCEL I.D.~t 11- z.<c, - 2.1 001 G 20tOCO GIC(e <br /> <br />WORK PROPOSED:____New Construction ~ddition ----Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />_~t of Uni ts <br /> <br />____M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS 0F BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1') SET ENERGY FORMS.*'" <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PKRMTTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ~3h5C.0 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />SiCb' <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />City License Registration # '1~'~ <br />************************************************************ <br /> <br />Company c:;:,o-YY'\ (?- <br /> <br />Electrician <br /> <br />Company <br /> <br />Signature City License Registration # <br />***********************************************************************~,***************** <br /> <br />Plumber <br /> <br />Company <br /> <br />Signature City License Registration 4t <br />***************************************************************************************** <br /> <br />Company <br /> <br />" <br /> <br />Mechanical <br /> <br />Signature I City License Registration 4t <br />*********************~~************.***.w.wwww****~~~~*******************~*************** <br /> <br />Other <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration # <br /> <br />I Hereby certify that I have read and examined this application and know the same to be <br />true and correct. All provisions of law aad o~dinances governing this type of work will be <br />complied with whether specified herein or not, the granting of a permit does not presume to <br />give authority to violate or cancel the provisions of any other state or local law <br />regulating construction or performance of cons~ruction ______~:/" ~ <br /> <br />U~ ~~ ~~/ '~_7_ ~~4~ <br /> <br />s~ature 0 ntractor S' , re of Owner <br /> <br />i / / b/9 f Date . L{(I b /9 f Date <br />--signed by the o~.,ner and notarized. <br />