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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Rl) Sse LL M 8 Row ,,( <br /> <br />ADDRESS '8 7 ~!; A 1"'-' r= EL 14 ~:T 2. ' HI LL<;' PHONE '( 8.3 '2... 5:S 1 <br /> <br />OWNER A- g A B()vE <br />717.;1.../ - ~7/1 ~ ~ <br />JOB LOCATION CoURT .~ T L L:- PH- Y 1(/1 JLL -'C' LOT SIZE_X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) Q b+ '2" BLOCK SUBDIVISION C H (-\ L fa I~ T \I ILL 14$ <br /> <br />PARCEL 1. D. ~~ c;:{ t.3 Co 'R 0 P L \4-oT 13:> 60/\ Z. t:l P )1 G:..E g ~ <br />/.5: -::L-b -;2) - 3-JD - 0 <br />WORK PROPOSED:~New Construction ____Addition ----Alteration ____Repair _Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Nove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />VM/F <br /> <br />.:b-~~ of Uni ts <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 />J.o t Ir , <br />BUILDING SIZE: 't-3 '8 X '2Q 0 l: <br /> <br />/:2 (..,(.., <br /> <br />rzf <br />r <br /> <br />Square Feet, <br /> <br />2$ fboT 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 FOR1'lS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />V BUILDING <br />~ELECTRICAL <br />V MECHANICAL <br /> <br />$ L... f! 000 <br /> <br />Valuation of Total Construction <br /> <br />\00 <br /> <br />AMP Service <br /> <br />~ Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ I b 00 <br /> <br />Valuation of Mechanical Installation <br /> <br />-1LPLUMBI N'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: V Block _Frame _Steel <br />FINISHED FLOOR ELEVATIONS:~'7 FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SE~O~ <br />Company U c, eLL IY1 ~Rou...II..J. <br />n . " StateCert. or Regist. 4F C6=- Co2lbll <br />~ M. <2,~ City License Registration ii _ ;) 4-3 <br />****************************************** <br /> <br />BUILDER <br /> <br />ET.ECTRTCIAN <br /> <br />Company J:< USsGLL M.~Roi~UN <br />State Cert. or Regist. rrfJ20ol055 <br />~ t'Y\. ~~ City License Registration iF _ /f:, 8 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company f). USSELL m. 21<0 v N <br />C) State Cert. or Regist. !of~:: CD <br />1~11MJ2.,lL 'YV\, <B~ City License Registration j~ _ lot <br />****************************************** <br /> <br />3QQCllo <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />~~ Y\1. S2,~ <br /> <br />********************************~********* <br /> <br />Company RUS~6LL lVI. 9<ROLvN <br />State Cert. or Regist. i.! c..~ Co4-/254 <br />. City License Regis tration iF _ ('I <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. 0 <br />City Lj,cense Registration lF <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERI'1IT OFFICER. <br />