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<br />APPLICATION FOR PEID1'IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;~ ' <br />APPLICANT ~ tv'l\ (\) C () I\JS--\ \Z LA C\ '\ d V\.J .::L.N (' <br />ADDRESS 3'\ 3 d. s S~ ~,& S4 \.."J' - 2-\1\ \ \s, PHONE B\S "-76 2-o62.s <br />OWNER 't:sC b\e f'v\\s~\ 6 ".) A~'i C' ~ \A.~(\\ ' <br />JOB LOCATION 6~9- \ :;)..3Q.Q st, 2e.0\(i?hIU~)F LOT SIZE\~'l\lX' \lol'ID"AREA SQ.FT,~ld.SO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I, D. j~ ~,- 0 l) · '~d-(v- L-\- 3L:,o J <br />I <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />S ol.\ - S '9--\4~ 0 <br /> <br />WORK PROPOSED:~New Construction -^ddition _Alteration _Repair _Install <br /> _Sign/Temp, _Sign _Nove _Demolish <br />PROPOSED USE: ~Single Family _M/F _j~ of Units ,._M/H <br /> _Commercial _Indust, _Swim" Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />L/ I I' <br />BUILDING SIZE: ~}'-0 X G 10, <br /> <br />\'J-Sl <br /> <br />Square Feet, <br /> <br />\~t~)(.C'f Height <br /> <br />& (1) SET ENERGY FORMS,** <br />FORtiS. * * <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br />LELECTRICAL <br />/ MECHANICAL <br />LPLUMBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W,R,E,C. <br /> <br />$ <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 /> <br /> <br />C ~/ ___, CONTRACTOR SECTION <br />() ~'5'\...\ -L lUQ -, Company <br />State Cert. or Regist, !~ (,~~C-DSS\~Z; <br />City License Registration !t,....,..'7~ 'XP";3.c; <br />****************************************** <br /> <br />Signatu <br /> <br />f,T.ECTRTCTAN Company ~~ ~.#/"A.l!. <br />: ~ ~ State Cert. 0 Regist. " <br />ignature ~ ' ~ City License Registration it 17 'f <br />, **********oJo******** ** *** ** **,', -{, i,i,* *i, -{, ** * <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Company <br />State Cert, or Regist. ff <br />City License Registration # <br /> <br />OTHER <br />Signat~ ~ <br /> <br />****************************************** <br /> <br />PERMIT OFFICER, <br /> <br />APPLICATION APPROVED BY <br />