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<br />"'~-liIfn.._"~~' -""..........'...JL <br /> <br />~'~~"~~~p-- ~'~.~ <br /> <br />_., _L... ~___.....,_._,...._._.__..._ _._no <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Xl "Iv' ~7" ~ r/r~ <br /> <br />ADDRESS "7 7.;>..,;>.. N ~ A/;) <br /> <br />:\ &~e~ ~ ~ ~ ~'-\.. tlY h 11 <br /> <br />5;- (2- ...... \ \ \:-~ ~ <br /> <br />LEGAL DESCRIPTION: LOT (S) , \ -\-- \ 2 <br /> <br />PARCEL 1. D. ~F / 1- ,) t -- ~ / <br /> <br />/1,J2.Pf'r~ C <br /> <br />PHONE <br /> <br />'7 Jj ;;;<. -- ~3' CJ-D <br /> <br />OWNER <br /> <br />t~ ~'-t ~r-.) <br />\ <br /> <br />BLOCK \ \1 <br /> <br />LOT SIZE_____X AREA SQ. FT. <br />SUBDIVISION (,+-~ ~r 2- h\.n~ <br /> <br />JOB LOCATION <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />___sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____tF 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 />BUILDING SIZE: <br /> <br />x <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 REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service Florida Power Corp. _____W.R.E.C. <br />;< ~ ~t?, ~ Valuation of Mechanical Installation <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />_PLUMBING <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 />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />v'::::~::~' ~~L Company ~. c-.- <br />._. '-:J. * ************~~~~:~~;:;~~:;~;;.;~~;~~;~ ~ <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />v <br /> <br /> <br />Company ;<> N~<4 C-~~ <br />State Cp.rt. or Ra€ist. # Ad'05;.-V?O <br />City License Registration # 7/ <br />*************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br /> <br />*::*~;JJJ!J!~** <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />