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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />5c2~g <br />J}e ..-? /l/ <br /> <br />lJeAN Rob,JL/'1~IJ ,/Ze/I/Y.L <br />7'/ . <br />/? ~T 7-/~/~ R 33SL/o <br />ffi>-6/ /' L -4.R ZJ <br />/'7 77/ ~ 7 7-. ~~ t. <br /> <br />~~~ <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7?tf. -tf, 2 R7'" <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />.:;-;?.38 <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D, t~ <br /> <br />____Sign/Temp, ____Sign <br /> <br />~ ';:y,,;cp.;(/C'.v7 <br />----Alteration ~Repair ____Install <br />Cl!4M&e t.?tfvr- ____Demolish <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_t~ of Units <br /> <br />_____I'I/H <br /> <br />____commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />COMl'1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS.H: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />l'ERM1TS REOUESTED <br /> <br />____BUILDING <br />X-ELECTRICAL <br />-A-MECHANICAL <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_H.R,E,C, <br /> <br />$ <br /> <br />&2890 <br /> <br />OJ! <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUtIBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECI,\LTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Rcg"istration 4~ <br />****************************************** <br /> <br />BUIT.DER <br /> <br />:1:~~ Company "l.-\\,"'-<; E:u:~", <:;;"1\.U. <br />: .. - State Cert. or Regis t. Ii Il cc ~l' IS' <br />'~ e - ' . ...............~~;~;;~~~~~:.~~~;~;~~;;~~ " ,<> <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. Q <br />City License Registration 0 <br />****************************************** <br /> <br />J:UTMRER <br /> <br />tlF.\:Il~NJ CAT. ft -"'..<1:>'/ ,4", e . Company ;;Te /#'// ~-" e <br />: __~~ State Cert. or Regist. 11_ .e'4-pL>,W?L~ <br />Signature -':::., ' /'- - .v. City License Registration !i Jr. - - - <br />7"** *~.~. * ***...* * **...... ...*~. * * "'l"~' J, ,'. .'. J, ....c...... J, ,C J, J. '" ,', <br />".. ."." ... n.... "".. n 11 l' .. ,. .. .. " .. .. .. " .. .. .. .. <br />.' ' <br /> <br />= <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. ii__ <br />City Lic:~nse Regis tration ii <br /> <br />Q1lJ.ER- <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />