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<br />APPLICATION FOR PERtlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANTR'I 1---1 A "-1 Co J.-l STT2YCT1 ON 1 N C. . <br />ADDRESS 313:J-S 5"1'. fL-r. S'4 W,' 7~PI4-'1g.#-JILL.s <br />OWNER MADELJ:E./ N E 51 <:;.,...~ UNO <br />JOB LOCATION Ljq?-q (;,1# 57". 2EPHYTLJ-+/LLS LOT SIZE <br /> <br />PHONE <br /> <br />?~:i -O~;;.S" <br /> <br />~, <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~t <br /> <br />WORK PROPOSED:_New Construct.ion _Addition _Alteration ......6-Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_it of llni ts <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim.. Poo 1 <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />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 FORMS.~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMTTS REOUESTED <br /> <br />>< BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />7. 'J-':>~O <br />/ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />-X-PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 /> <br />~ONTRACTOR SF.CTION <br />Company <br />State Cert. or Regist. !F_ <br />City License Registration IF _ (y-.s- <br />************************************ <br /> <br />:' ~r CLILSS EC-fY'-TI2-K) ^'''Company <br />.~ . A;.f. s ~a te Cert. or R:giS t. . It ?e 0 '" ~ S/'7 <br /><:T "C1ty L1cense Reg1strat10n IF /~ <br />. ~~*****.*********.*.*****.*.......*.....**** <br />1-/ ) <br />PLlJMRf,R ~ fOR. Pc-v M 61 ..., Co Company &1'€# V . <br />1, State Cert. or Regist. # <br />Signature ~~ City License Registration <br />. . ****************************************** <br /> <br /> <br />/' <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MF.CHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~**************************** <br />LP A1...-C--<-" xl ..z~/)A'v 1 <br />,\ . <br />J <br /> <br />PERMIT OFFICER. <br />