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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT jJJ/tLJ:' / e.flJ/ EK.. <br />ADDRESS 39659 /'l!PL7rka/O/")7'---L Lor <br />OWNER /JJJ9/Cj:' / .e/l//E/C <br />JOB LOCATION ~~~ <br /> <br />PHONE <br /> <br />7f-,2 -?j>L/g <br /> <br />LOT SIZE~X //0 AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~. <br /> <br />PARCEL I.D.# /3 -;;2~ - ~/ - tJ/~tJ - OOOOC - C) ~y.o <br />WORK PROPOSED:____New Construction ~dition ____Alteration <br /> <br />____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />____iF 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: 1'& X a &, <br /> <br />'d-f(;O <br /> <br />Square Feet, <br /> <br />g / 'III <br /> <br />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 FORMS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/ <br />--lL.BUILDING <br />~LECTRICAL <br /> <br />PERMITS REOUESTED <br />$ d.. 3 ,-/0. O<.:J Valuation of Total Construction <br /> <br />AMP Service 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 />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />/ <br />j . <br />~ .! <br />\;.. <br /> <br />/tu iJ [~ <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />/ <br />ELECTRICIAN i ./ ,. <br />\. ,--. <br /> <br />?) // f K..... Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Company )(',. A.; s ..(.,. ~ 11-"" Ire-v( <br />State Cert: or Re{ist. # R !//J--n<;;-070 <br />City License Registration # 7/ <br />***************************************** <br /> <br />,... <br /> <br />OTHER <br /> <br /> <br />Signature <br /> <br />IF <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />