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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 11~, mJJ,J,. N~. -- qJ~ tL fY)m1..v~ <br />ADDRESS .3 '1/'10 ~~ b l/ 2 It ,,0. - I~OL Ii. PHONE 783-loOg7 <br />() v J.. ~ . 35'13 <br />OWNER I...f SlAA^tf- Ii mno 1 D",-, ~^. <br />JOB LOCATION 3)]614 ~ 4 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />LOT SIZE12LX 9.5 AREA SQ, FT , <br />SDBD IVIS ION /,)ll "J~ ! l3JA d L.J...':d-.. <br />PARCEL I.D,4F-1'1~ ~.,. ~J ---.allDe - OClDn() - O;J.5n <br /> <br />BLOCK <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp, _Sign _Move _Demolish <br />PROPOSED USE: -Lsingle Family _M/F _4F of Units .-LM/ H <br /> _Commercial _Indust. _Swim, Pool Other <br /> <br />:~ <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 OF BUILDING PLANS & (1) SET ENERGY FORI1S, ,',,', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-1LBUILDING <br /> <br />-XELECTRICAL <br />\J ,,1 <br />-A-.MECHANICAL <br /> <br />-2lPLUMBING <br /> <br />$ LIto pOO. OD <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />X' Florida Power Corp, <br /> <br />_W,R,E,C, <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />m / l-t <br />I <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />SECTION <br />Company <br />State Cert, or Regist, # <br />Signature City License Registration 4F <br />i ****************************************** <br />,:; <br /> <br />::::::~;:~_ _~/l(iA~L LOb-/. ~ Company -E H J?J/11l1J S'Is DoT rill "- <br />.,n State Cert, or Reg1st, iF E. ~ 0000 t/9/ <br />. M _ _ _ City License Registration IF <br />****************************************** <br /> <br /> <br />*********************************** <br />1 <br /> <br />~Yo~~"rr.u Company bl1/~l1I~t~ OA&.!). <br />~ ~ State Cert. or Regist. {f <!. F~ E> :::. 7', , <br />Signature City License Registration # <br />***********~********~******************* <br /> <br />MF.CHANTCA~ "K..~~ ~~ !l. J Company ~V 1~~JAlE.&iTd:.J- <br />- ~ tJL') State Cert. or Reg'ist, j,!~'(! <br />Signature~ . \ r: .~ City License Registration IF <br />****************************************** <br /> <br />PLL'MBER <br /> <br />~4' [&~ <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />