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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />of- 8/)1" <br />S; Lf / fS.;rN <br />~ . S /J/YJ f3-- <br />JOB LOCATION ;2 fPl-I y,R J-J I J-J- 5 F 1- <br />II r /,2- <br /> <br />I'} ) 1- 2-- E Pi <br />S-r: <br /> <br />PHONE <br /> <br />7KfS- <br /> <br />1.)< ~ 7' 9 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.t~ /1- Z. ~ - 2-/ <br />, <br /> <br />WORK PROPOSED:~New co~struction <br /> <br />LOT SIZE\$fl x) 1J f) I\REA SQ. FT. 3 <br />DLOCK/rI:lsuBDIvISION <br /> <br />_Addition <br /> <br />_Alteration <br /> <br />_Hepair <br /> <br />_Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_t'love <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />_t~ of Uni ts <br />-4swim. Pool <br /> <br />._~l/ll <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fce t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COmlERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY ForUIS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />EERMITS REQUESTED <br /> <br />-1LnuILDING <br />-i-ELECTRICAL <br /> <br />$ jJ,dOO dO <br />, <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />X Florida POlver Corp. <br />, <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br />---x'-PLutlBIN'G <br /> <br />$ <br /> <br />Va~uation of Mechanical Installation <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 />,7tJCl"rr~ CONTRACTOR SECTION I ~ <br />BIITLD"R I)~f < tPdd1- C't ~ Company J?af 5 If f/.'- <br />/I J V/ If State Cert. or Eegist. !!-1__12.0 <br />Signature (A/l;[luu.n Q- /f~ City License Ecr,istration !.~ <br />tJI ****************************************** <br />Wjlt/7EfP /- <br /> <br />:1 ::::::; Z ~~r:l C Company rE ic [ '" ~ C T R ) C- <br />...: ,'. State Cert. or Ecr,ist. iiJ:~.0i/:;#6 #/, <br />i,-, :1 /c' /L / P .' City License Rcc;istration I) ,j"?-J <br />*********************************~******** <br /> <br />Cf, <br />if9 97 <br />Jd <br /> <br />Signature <br /> <br />Company <br />State Cert. or Rcgist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Eegist. 0 <br />. City License R~gistration !~ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature__. <br /> <br />Q.Ill.E TI <br /> <br /> <br />~~ <br /> <br />Company 17 ~/'J J'77 J/Y ~ -T ~~ ,q 1.- ~/V t//? <br />State Ccrt. or' Ecgis t. !! V dC? r- ,rll.( <br />City License Registration I! 7S <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />***********f******* <br /> <br />PERt-lIT OFFICER. <br />