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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT jJ- U /? L r;,I ~'/, <br />ADDRESS c ~ R Y .:S () <.... ~ ?1- JD <br />OWNER D i '( k: I?1lJ r Y' i S' <br />JOB LOCATION ~I 3 5- 11-.(') y~- <br />LEGAL DESCRIPTION: LOT (S) ;] S - <br />PARCEL I.D.~~ ~ -;;t 6 - d-I <br /> <br />~ CcJ0C v~YcJ , <br />PHONE 7?Z- 3(') yv <br /> <br />BLOCK <br /> <br />LOT SIZEJi.f{~ 7.5"'-A~EA SQ. FT . <br />. <br /> <br />SUBDIVISION 00 Cr ~ cI' ~ <br /> <br />S-c) <br /> <br />WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_4~ of Units <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 /><7 '> / <br />x,7D, <br /> <br />Square Feet, ~:7(J <br /> <br />~ <br />7 Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.'H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />PF.RMITS REOUESTED <br />$ ,.:;J h cC>{)r (f(); Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN"G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />/1tu~_Other <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />~Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />***********************;;~;;~;**;I.*.:*.*;. P1 1.7 · ~J /' --- <br /> <br />Eompany /~_I.. LV. N ~ ,L~, <br />State Cert. o~ Regist. IF RA.ooC;9&ros- <br />Signature City License Registration IF 11-" <br />*************************** <br /> <br />ELECTRTCTAN Company <br />State Cert. or Regist. # <br />Si2nature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration 4F <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. ~F <br />Signature City License Registration IF <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration IF <br />7 <br />:Jt'*,,*,".il.* <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br />~~., <br /> <br />...-/ <br />