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<br />_f.W~!:!.t;I!;lU!!d~m!oH""",.ftm_-.-' r .~..d_llfIII <br /> <br />-,.';'il' ....:....-;.,.... ..., ~";'hli~.n;:~"".;"'~"" ,...~ :...;;.--...- "",,,-_.'" <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />m';~;ER <br /> <br />---&.-- . <br />i <br />iI, <br /> <br />r <br />" (. J' ,,?i E ~ V . ' <br />\: i ~l~ i tj-!-~ <br /> <br />ADDRESS <br /> <br />~}T <br /> <br />2-h{f~ <br /> <br />PHONE <br /> <br />'1 ?f)-, -.5]};- C; <br /> <br />~. <br /> <br />;:..,....L <br /> <br />A-l?PUCANT <br /> <br /><<:. <br /> <br />~.; <br /> <br />.Jell LOCATIon'.~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />lSGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />P:\RCEL I. D. 11 <br /> <br />WJRK PP.OPOSED: _New Construction _Addition .-!:-Alteration _Repair t'- Install <br /> <br />.. ,"~ <br /> <br />'~~ Go '2.. I <br /> <br />c /();q <br /> <br />c C' () c:> c. <br /> <br />D S'-,L c.J <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />rROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4~ 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 />CO~I}lERCIAL : <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.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMTTS REOUESTED <br /> <br />" <br />~ELECTRICAL <br />_~~_J1ECHA'~I CAL <br /> <br /> <br />valuation of Total Construction <br />/ 'ci ~-'V' o./c <br />~~AMP Service ~' Florida Power Corp. <br /> <br />. .'#<J <br /> <br />_BLJILD~~NG <br /> <br />_W.R.E.C. <br /> <br />$ ,:)[)/..; /. Oi) <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLL'MBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />S igna tur'~ <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />IlJlILDER <br /> <br />" <br />,~)I <br />fi' I <br />~r / ./ <br />F;U:CT"RICIAN' J.:.-/-<',// <br /> <br />'y <br /> <br />Company Ii c: f2 f( (? +J- /~ e-./' ff~o;~ J <uc . <br />State Cert. or Reg1st. 41 /F~J()()[)..'lDrJ?! <br />City License Registration 4F l..j~'7 <br />****************************************** <br /> <br />"0~ <br />/i;~. 2 <><J <br /> <br />~i[matur~ <br /> <br />Si~r,nature <br /> <br />ME r;I IANI :;aI. ,,' _ , Company rJ (' '" ;7 p+ J, , ",d" /- {"l7 /<0 ~ :J~', <br />(' --V _ k-' State Cert. or Regist. j; (21c..o:'J97SS <br />s;gnature...~;~AV /_ ~ J d'A/fY City License Registration j; In'~ <br />******* ********************************* <br /> <br />Company <br />State Cert. or Regist. 41 <br />City License Registration 4F <br />****************************************** <br /> <br />.r.L1ll1B.ER.. <br /> <br />Signature <br /> <br /> <br />D!HER <br /> <br />;~ <br /> <br />PERHIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />