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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Y Ii III If L Tfl v' i4- r1 e g <br />ADDRESS E 9 " J..j g 1!:J)...a [ ~ A Y A l/ <br />f <br /> <br />OWNER D n-iV J t= L-r A V p.f2 E: S <br />JOB LOCATION .3 C; () .Jj g 13l LA E -::r A-y <br />1 <br /> <br />PHONE <br /> <br />LOT SIZE X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(5) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1,D.4~ <br />WO~ PROPuSED :___New GOnSLructioll __Arid; tiOfl _Alteratlon . LRf>r;\l r _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Nove <br /> <br />_D'molish <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />.~/H <br />- ci.. 7~'~'; ~t' Other <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_# of Units <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 <br />ATTACH <br />**COPY <br /> <br />(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />(3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />OF CONTRACT REQUIRED. f J 5 {'1.)1 J /J A ,J 1l,1 u~ +- <br />L"f;.' V- {(~ n I L..OG/'I"I. LA! I' rr <br />PERMITS REQUESTED 51rT~ <br /> <br />_BUILDING <br /> <br />$ <br /> <br />., / .v?--/~ <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 />_PLUMBING <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 ~LEVATIONS: FT. <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company /./--0 67 If C 1}-{2 e /11.../ j) <br />State Cert. or Regist. # ((?( C1 r,I /9 Ir,t <br />Signature City License Registration # <br />****************************************** <br /> <br /> <br />Company <br />State Cert, or Regist, # <br />Sienature City License Registration # <br />****************************************** <br /> <br />PLlrnRER Company <br />State Cert, or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. ff <br />Signature City License Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />