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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT {'OJ.} f1VMl'b /.nY AU/LJJ€/lf ()F FUlll~1t <br />ADDRESS 5720 G/J'lL- 13L.V~ SUIrE- '#1'/0 PHONE ;!J.s-7lt..-";]?ID <br />OWNER Sr :5D ~r;,P!t C~tAc- CflUllUi <br />JOB LOCATION S m M ~ 3 ?-?O d-. LOT SIZE -X> AREA SQ .n . <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />. ,./ <br />PARCEL 1.D.~F / I -- 2-(P - 2/- 00/0 >-/7 I 00 - 00 If) / <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />~~F of Units ._~H <br />_Swim. Pool (iPU~ ~ePUfCb1{f1.1r -Jther <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <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.~'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />_ELE~ICAL <br />_MEcj~ncAL <br />_PL~'n[G <br />TYPE OF CONSTRUCTION: <br /> <br />$ /000.."0 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />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 /> <br />_Block <br /> <br />_Frame <br /> <br />_Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br />" 1 <br /> <br />Signature ~~.- ~ , 6~ <br /> <br />CONTRACTOR SECTION <br />Company (;;I./7€R1'tJAHfl~ ,8,) Ill) 'iflJ> o~ ptIJ L/ ~ If <br />State Cert. or Regist. iF CGGo'llbll <br />City License Registration it '251 <br />****************************************** <br /> <br />:::::::AN \ I <br />X~ <br />PLUMBER X <br />Signature <br />MECHANICAL ."\. I <br />(" <br />Signature / '. <br />OTHER X <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # - <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # - <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />