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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~lLf!- _, /l L-tt J1 / / nJ Li 1'/ J. ~ S.Qfl <br />ADDRESS tic> b ~ tJ tf (/ /V. fa \"' tJ ~ h. I"\:) Y' , 'Z A/(I s <br />, <br /> <br />U) ~/)1.P 6~JY1 i , . <br />JOB LOCATION6c; 2 36 ~~ <br /> <br />(2v L d IT /IJ <br />'7 '9 <. '-I 59'/ <br /> <br />PHONE <br /> <br />~, <br /> <br />o <br /> <br />LOT <br /> <br />~~ <br /> <br />SIZE~X I / D AREA <br />e/~J <br />SUBDIVISION I ~ <br />I <br /> <br />SQ.FT. / :2 '-I~ <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL I.D.4~ 1::z.~2.?- ~I bOllo OOGOO <br />WORK PROPOSED: ~ New Construction ____Addition <br /> <br />C) () t;; () <br /> <br />____~lteration <br /> <br />_Repair <br /> <br />_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 />_t~ of Units <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: 22 X I '1r , ~d Square Feet, 2, 't t, -IF 8" 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 FOR}lS.;:* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ / , <g $"IJ 0 1) <br /> <br />valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />\ J4 [> L / CONTRACTOR SECTION\ A 0 ./)) , ../ rJ <br />nun ,D ER ,.-J to? be', je.., c) d If- n) . Company ..J ^- ti L-- U dll I U u <br />F 4 /J /l.i _ State Cert. or Regist. !~ j( :'1-.. 00 ? f5' Of 2.5 <br />Signature i If ~, City License Registration il iJ ~ <br />****************************************** <br /> <br />ELECTRTCTAN Company <br />State Cert. or Regist. ff <br />Sionature City License Registration ff <br />****************************************** <br /> <br />= <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ff <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ff <br />****************************************** <br /> <br />MECHAN1CAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration n <br /> <br />PTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~*************************************** <br /> <br />':0'-"1 >.t/ ~V&Or . <br /> <br />PERMIT OFFICER. <br />