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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT (JOIJ'rEK'lPIJRIJf(Y co,j]1'WJeypN{; t <br />ADDRESS 5720 G,qL~ BLV~ Sj,J/~'+Ji"lO <br />OWNER 15tn/Ml' /I ~ &ACK.. <br />60/7- /f:.: - h ,\' <br />JOB LOCATION LeI 'Is M 'y/771 Sr: ('M):, Hll0 LOT SIZE.:lZX Joo AREA SQ. FT. 7t:,50 <br />LEGAL DESCRIPTION: LOT(S) #4511J1IT I BLOCK 19fmsUBDIVISION fJ~ /JILL- <br />- ) - <br /> <br />IJ5VGUJPIYJEt1/r~ ..INC. <br />Z-H/U,5 PHONE 8/3 -]8 Z -7'~tJ <br /> <br />PARCEL I.D.4~ <br /> <br /> <br />Construction <br /> <br />_Addition <br /> <br />~lteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED: <br /> <br />PROPOSED USE: <br /> <br />~/Temp. <br />Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <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 />I // <br />/2 -10 '5;9~ Height <br /> <br />BUILDING <br /> <br />SIZE: 28 X 5''1, /3/2LtI" 1707TD'1'I'YtSquare Feet, <br />", <br />(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />(3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />OF CONTRACT REQUIRED. <br /> <br />ATTACH <br />ATTACH <br />**COPY <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />_MECHANICAL <br /> <br />PERMITS REOUESTED <br />$ '-lb. 2 'fO .. 00 valuationpotal Construction <br />/50 AMP Service LFlOrida Power Corp. <br />$ 2000 ..00 <br /> <br />_W.R.E.C. <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN"G <br /> <br />-~~ ROOFING <br /> <br />TYPE OF CONSTRUCTION: ~BlOCk _Frame _Steel <br /><:Jd <br />FINISHED FLOOR ELEVATIONS: 0 ]i:If"; /ftJP~ ~,;91J C,tC!oN~ <br />or <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature vJ/L~ iI $acM <br /> <br />CONTRACTOR SECTION ' <br />Company C'OJfJT1$n)t'tJlMeY ~/J Tt!-, ~ LJd#'. <br />State Cert. or Regist. !fr CGGo Ifl"''' <br />City License Regis tration it ~ 6 I <br />****************************************** <br /> <br />$#JC. <br /> <br />ELECTRICIAN Company )-- e t> <br />, ).J /1 . J /7 State Cert. or Regist. it '~/fOOi'J~~ <br />Signature 1.././A~ ~-r./.k City License Registration it J (J <br />****************************************** <br /> <br />PI.1JIlBF.R Cd . Company C!J a / (eo/A 1'.~ ~ ~ 'f1. <br />State Cert. or'Reg st. i~~ ~O~. , <br />Signature ~ff /f1 crtrJ-..--' City License Registration H /"V'" <br />. ****************************************** . <br /> <br />MECHANICAT, <br />Signature ~ <br /> <br />c:::::::' ( <br />Compa~ 0 "J N 5!/ ...s- <br />f 1-v 0 State Cert. or Regis t IF ~ h? /) 0 I r'r '- <br />/ ~ t; ~.. City License Registration it ;:z. <br />** *t************************************ <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or .Regist. H <br />City License Registration H <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************** <br />aA~d - Q~Y "' <br /> <br />PERMIT OFFICER. <br />