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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />I/'!=; A.J fA) ({ F \. ( C n /'.J S r /VL.AI JJT <br />ADDRESS fl()'{ "SD 1 {I i<"YS~kL' <: ?,1L/!J6 s K.PHONE <br />1\112 ~LMlCit 1'A-l2-r~~ <br />tf)(,3 0 ef)rrlt~.E <; r <br />LEGAL DESCRIPTION: LOT(S) WI A)"rG/:2BI.A4~'tfJllJjli;iBIONIf() 1'---1 F <br /> <br />IN C <br />~/~-7Y~-iJsft <br /> <br />" <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT. <br /> <br />PAR/~ <br /> <br />WORK PROPOSED:_New Construction <br /> <br />~AJC~e1c::.. /)dLIVE- .~L"~ -c..~1t~7 <br />~ddition _Alteration _Repair _Install <br /> <br />PARCEL I,D,i~ <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Nove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~M/F <br /> <br />_i~ 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 />BUILDING SIZE: <br /> <br />x <br /> <br />~ --. <br /> <br />Square Feet, <br /> <br />-" <br />- <br />9 <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 />PERMITS REOUESTED <br /> <br />V BUILDING <br /> <br />l ~D <br />/7'01) .- <br /> <br />Valuation of Total Construction <br /> <br />AMP Service _F~rida Power Corp. <br />--- ~ <br />____Valuation of Mechanical Installation <br />---- . <br />_~LUMBING ~AS __' ROOFING <br />....----- <br />TYPE OF CONSTRUCTION: _~ ----:-~~teel <br /> <br />FINISHED FLOOR ELEVATIONS:~ <br /> <br />~RICAL <br />_MECHANICAL <br />::::::--- <br /> <br />~R.E.C. <br /> <br />$ <br /> <br />SPECIALTY <br /> <br />...- <br /> <br />cElJJJo<LJ.UA ~er <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER 1(E",u tV 'JL.~y I!lJtJ5~ . Company K ~ WIC,G Y (! OP ~ <br />A/ Jd;y State Cert. or Regist. 4~ . ~ ~f- <br />Signature...K.b ~ ~ .. City License Registration W~Z:;c;,r&7 <br /> <br />************* ****;*~~~~~"~~'~:rl~;'O <br /> <br />ELECTRICTAN Company <br />State Cert. or Regist. 0 <br />Signature City License Registration 0 <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />StaLe Cert. or Regist. # <br />City License Registration # <br />******~~~*~*******~~**~******************* <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />91*;:::;~"~~*~:;:;~"*******"** <br /> <br />PEFMIT OFFICER. <br />