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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT f~. LU. A ) U {Y--)j' /7 U /n ;} (' ()nfl Ie { t <br />ADDRESS 38C/30 ;). 4 tJ-e' 2-(> LJI)( Ir h -' //~, r/' PHONE 7 2'l - 3 oC/V <br />r I <br /> <br />OWNER CJ ~ r V, ~l_\..6hvy,o...Y' <br />JOB LOCATION f.c, / (/ D if? ('xlo I <br /> <br />e)olA~/d'f' (br!q,.OT SIZE 'I~"{ g-?,AREA SQ.FT. <br />SUBDIVISION ~~~)(() <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.4t :J - C)(O- (;) )-5- 0 <br /> <br />BLOCK <br /> <br />WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install <br /> <br />c <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />~/F <br /> <br />_4~ o,f 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 ~IZE: <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 FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMTTS REQUESTED <br /> <br />1BUILDING <br /> <br />$ <br /> <br />CD d.---s-, u \:) <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 />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBIN"G <br /> <br />... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />BUILDF.R <br />Signature ,;{~. <br />/. <br /> <br />/ . ****************************************** <br />/ I. 1,// ... CONTRACTOR SECTION <br />/ J I.. f :;", 1... i." Company J.I. LV. 1i/0rn/l7tJFY\ dL~f)nL'/-e/C <br />/ .' // State Cert. or Regist. ~~ R.xc..of..t9&ffJ 7 <br />j1, L {/[l "'z / ' City License Registration # 9 ? <br />* *****1*** * lv.*********** **** * **** of, * \'dd: ,'r **." <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ff _ <br />****************************************** <br /> <br />F.T.ECTRTCTAN' <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # _ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # _ <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />****************************************** <br />APPLICATION APP~OVED BY )1/JAU""J K!.Q/JAJ"r .. <br /> <br />PERMIT OFFICER. <br />