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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,\PPLICANT _GiL I <br /> <br />ADDRESS <br /> <br />S15J6 CONS~\2Q7CJN <br />(hLADGS ~IZ. ;?-/+tU5PHONE <br />A-N N l C1i A/UJo <br />fOt \WtJ ~~E- <br />LEGAL DESCRIPTION: LOT(S) 5'0 <br /> <br />5-I2~lo <br /> <br />7'lZ ,-try (.{ c <br /> <br />OWNER <br /> <br />BLOCK <br /> <br />LOT SIZE /ZS-x lOS-AREA SQ,FT. ~~~ <br />e IL vtc:: /) /e,^ · /.< <br />SUBDIVISION :::> _L,.H_ ~L0 <br /> <br />JOB LOCATION.31J 2;7 <br /> <br />PAf~CEL I. D. ii o:j - 20 ~ 2.., \- 0 I ~ 0 - 6>ocx::.>O - 0500 <br /> <br />\WRK PROPOSED:-A-New Construction _Addition _Alteration _Repair _Install <br /> <br />_C;ign/Temp. <br /> <br />PROPOSED USE: .t-._(;;n!~le Family <br /> <br />_Sign <br /> <br />_:iove <br /> <br />__Demolish <br /> <br />_M/F <br /> <br />_4F of Units <br /> <br />_M/H <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Departmenr Approval <br /> <br />BUILDING SIZE: 4.~1_<-t I( x47~'1~ <br /> <br />/662- <br /> <br />Square Feet, <br /> <br />R' <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COl'IMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.."fS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~IS, *'~ <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOlffiSTED <br /> <br />X BUILDING <br />~ELECTRICAL <br />1-MECHANICAL <br />~PLUMBING <br /> <br />$ 59; 240 . <br /> <br />~ AMP Service <br />$ 2.fr;;cv. <br /> <br />Valuation of Total Construction <br /> <br />--t<-_Flor ida Power Corp, <br /> <br />_w,R,E.C, <br /> <br />Valuation 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 />Company <br /> <br />beL, STl5J~ <br /> <br />(b,vS~.{.)Cn00 <br />JE..I elSe. C) '2-2- \ 3 cy <br /> <br />Signature City License Registration # <br />*******************.****************************************************~,**************** <br />Electrician Company 2-l.\. ",-,-'3> t::<-E'c'l, S 20, <br /> <br /> <br />City License Registration # \",D <br /> <br />* * * * * oJ.J.* <o'l.J."*C)t* oJ J~ ~..". * J....t....t.. ~t.. J., .'. * * J. ,'" J.. J.. ..... J...l. oJ.. ..... * J. * J.. ..'.. J.. J.. ..'.. J.. J.. *... <br />. c~mp~~y"~ ... ~~;~ 'jf1ii~" 'fX(~;;t1.~"6"""""'" <br /> <br />. <br /> <br />Signature City License Registration l~ ,Sf <br />****************n****,**************************************************~,**************** <br />Hechanical Company ~/(':J j';ec/,,/'9.AJc 6.14$ IZ../j/c I.AJ C. <br /> <br />Signature <br /> <br /> <br />City License Registration 1F t': fir. 0 ',0'3 q 'TEt <br /> <br />.*****************************************************~~**************** <br /> <br />Other <br /> <br />Cc,iIIpaaly <br /> <br />Signature <br /> <br />City License Registration # <br /> <br />I Hereby certify that I have read and examined this application and know the same to be <br />true and correct. All provisions of law and ordinances governing this type of work will be <br />complied with whether specified herein or not, the granting of a permit does not presume to <br />give authority to violate or cancel the provisions of any other state or local law <br />regul ting construction or performance of construction. <br /> <br />Lan~~ t? ~. <br /> <br />Signature of O\o,'Iler <br /> <br /> <br />Date <br /> <br />IO!(J~/c?/. Da te <br />signed by the owner and notar~zed. <br /> <br />~ ~Ol~l''t ."'jll.L~~"~.~~Fl~tln~91 . <br />liil co.\~...lIS;;,ION E/.'. I.... J. t_u, ~J. 199" <br />Notary Public eON"." THRU NOTARY P""'-IC UN.J!;R,mIYERS. <br />