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<br />APPLICATION FOR lli.".~'u.i <br />CITY or ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />^PPLlCANT ~ \...>... ~ ~ \ D \ c'~~ <br />'?-.>i5 1-~ <br /> <br />OWNER ~o~ .~~ <br /> <br />ADDRESS <br /> <br />~~) <br /> <br />J~\.j.;\{'(\. <br />-:'~ <br /> <br />PHONE 7CR~ -/~t'\ 'D <br />L,-~\~ .~\\.~ ~~ "p~\ <br />./ <br />LOT Sl2.E~D X 7("") AREA SQ.FT, <br /> <br />JOB LOCATION ~C\-1 <br /> <br />L\ \..J.. ~ <br /> <br />""ST' <br /> <br />LEGAL DeSCI~1 PTION: l..UT (S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL l,D.j~ <br /> <br />WORK PROPOSED:____N~w Con&truction ----^ddition ----Alteration ____Repair ~Install <br /><D6U:~\k:, '~-{" <br />_si~n/TeDlp, _Sian _~ove _Demolish <br /> <br />Ii( -db'--- d-./ - e:> CJc.70- 00;)...00 - CouU <br /> <br />PROPOSED US E: _5 ing 1 e ifamily <br /> <br />---y&1 F <br /> <br />_~ of Units <br /> <br />_M/H <br /> <br />_Conunerc tal <br /> <br />_lndust, <br /> <br />_Swim, Poo~ <br /> <br />Other <br /> <br />_Restaurant & Healtb Department Approval <br /> <br />BUILDING SIZE: <br /> <br />......"--, <br /> <br />Square Feet, <br /> <br />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 FORMS;" <br />**COpy OF CONTRACT REQUUED. <br /> <br />PKIIKITS llROIWSTED <br /> <br />__BUILDING <br /> <br />c.30 <br />$ "?- ,\ C:>D ~ ~Val....tion of Total Con~truction <br /> <br />.,_ELECTf<lCAL <br /> <br />-AMP Service <br /> <br />Florida Power Corp. <br /> <br />_",R.E.C. <br /> <br />.. ,_JECHAN 1 CAL <br /> <br />$.. <br /> <br />Valuation of Mechanical Installat.ion <br /> <br />_PLUMBIN(; <br /> <br />_,__GAS <br /> <br />.ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE uF CONSTRUCTlON; _lHock <br /> <br />____Frame ____Steel <br /> <br />_0 the r <br /> <br />FINISHED FLOOR ELEVATiONS: ~'T. <br /> <br />.wNTRACTORS <br />Builder ~ "" .~company -riU"::::' :::.'~)C> ~ \~c, · <br />~~31> ' <br />sign.tucy ~. -~ City License Regiotration ff ? 7 <br />*******~********.**..*....*************..********************************* <br />Electrician Company <br /> <br />signature City License Registration 4~ <br />**~*****.***************.***********..***************************.*********************** <br /> <br />plUJllber <br /> <br />-'- <br /> <br />Company <br /> <br />Signature------_n City License Registration /1 <br />******************..*****************.*************************************************** <br /> <br />Mechanical <br /> <br />---- <br /> <br />Company <br /> <br />signature __,____.L,- City License Registration 4' . <br />*********************~**************.**************************************************** <br />, <br /> <br />Other <br /> <br />Company <br /> <br />S i gaa tun~ <br /> <br />City License Registration # <br /> <br />1 Hereby cert 1 t y t hat I have read and exaJnined this application and know the same to be <br />true and l:orrect. AU provisions of law and ordinances governing this type of work will'b.~ <br />complied with whether specified herein or not,' the granting of a penult does not preswae to~' <br />give authority to violate or cancel the provisLons of any other state or local law <br />regulating cons U".lIl.: t.. r0I1"~e!toreance of construction. /} <br /> <br />/~==/~-77~ ~ffl--t- &~ . <br /> <br />ature of Contractor / S 'ture of owuer' , <br /> <br />~,~ '~l"l" <br /> <br /> <br /> <br />ate <br /> <br />and notarized. <br />