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<br />APPLICATION FOR PER}IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />OJ N f) ,A t/ F <br />OWNER ,/ tJ J.I N I J, P A. tV" Z, G ~ <br />JOB LOCATION 3 c;;-? l?- d IV D 4 j/ F <br /> <br />~r 0 II- ~') <br />,~ '/ /~ <br /> <br />,J I <br /> <br />PAl\/?-clP <br />~ ~ 14 () <br /> <br />PHONE <br /> <br />7 YJY.- ;)7 s- / 1;L, <br /> <br />APPLICANT <br /> <br />A t_v C/ F 13 ,~C' <'--1(- j:JEl ;viEc tV <br />LOT SIZE_X AREA SQ.FT.I~-r{7'-'/-/ttJTH- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Z-EPJ./ '(If filL- L S <br /> <br />PARCEL 1. D. t~ /'0 B> J P 6- .')4- fI. h I- tP r f}L.. OL /'<. t).., Oq. <br />WORK PROPOSED :_New Construction ~ddition _Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />____t~ of Uni ts <br /> <br />,._M/H <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Sr~ If ,4 ~ E <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />, , ) <br />ILf X 3 'I' , <br /> <br />Square Fee t, '-1'7 {. <br /> <br />R i 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 FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />'-I S~ 0 0 <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 <br /> <br />~rame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER 110(-1. N cr. P A AJ "2 C:. R.. (JU./IJ EI.( Company <br />;J iJ 0 'iD . State Cert. or Regist. iF <br />Signature "'7'A'1 C~f~~Q~ City License Registration IF <br />.' (/ **** *****************1,*1,*1,****-1' ,',"i' ,', -1:1: ,':1: ,', * <br /> <br />ELECTRICIAN IY 0 II) ~ Company <br />State Cert. or Regist. ff <br />Signature City License Registration ff <br />****************************************** <br /> <br />Signature <br /> <br />tV (;) IV ~ Company <br />State Cert. or Regist. ~ <br />City License Registration ff <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />IV t) I'f C Company <br />State Cert. or Regist. IF <br />City License Registration # <br />****************************************** <br /> <br />7;j ']J/0 <br />Company L ti-.~ (/ iW (;1../V\.~?l._.""'L/' <br />State Cert. or Reg;fst. IF <br />City Li~nse Registration H <br /> <br />MECHANICAL <br /> <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />******~*:f************~****************** <br /> <br />LA ) ~j L:--- 4. wy <br /> <br />PERMIT OFFICER. <br />