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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~Dc ~-:J~ <;.p~(,i'A\-h~<:, Xx. _ <br />ADDRESS 1/lf 7V ~",i If A S:'+lQ,t-;f t(-'"p,.r.~ I <br />OWNER Ze.ph'j R. Iq - ~Je^S~;,f) <br />JOB LOCATION~71J5" ~!ll\;tn~,'V'. BltJI\. <br /> <br />fi ?/I~ (e, PHONE <br /> <br />4t.{7-.(o/~ <br /> <br />BLOCK <br /> <br />LOT SIZE_X AREA SQ. FT. ?y()(\ <br />SUBDIvIsloNlefh1Rh') Il) d/,,;Y\ ~ C,.,,"AA'J UwuS <br /> <br />LEGAL DESCRIPTION: LOT(S) , <br /> <br />PARCEL I.D.1~ C)3?~J ~\) ()() IOfC) <s'-f i)()L.x>3i <br />WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ~Install <br /> <br />____Sign/Temp. ____Sign _Move ____Demolish <br /> <br />-X-Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />._M/H <br />Ae-S+uQ(U ,,~T- Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />_1~ of Units <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <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 FORt-IS. H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />x <br /> <br />2-'1M Square Feet, <br /> <br />Height <br /> <br />PRRMITS REQUESTED <br /> <br />-i-BUILDING <br /> <br />$ ~ f;,S'7,OD <br />I <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_\-l.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 />R(J KoC) F- <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration 0 <br />****************************************** <br /> <br />ET.ECTRTCT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br />t>lskl .DBt:1; 1) I . - <br />_ --. Company f'lC:oh~ C"j... (r:; fd: (1 (/4 i ~ e ~ 1~.jc . <br />C IceA. State Cert. or R~gist. 11"-1:'<'" ""l6(Vt..:ito <br />-r.t' City License Registration jJ: <br /> <br />MECHANICAL <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />--n "'''"''J zIj. P/l4h~r , <br /> <br />PERMIT OFFICER. <br />