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<br />-'} {L', ./ ., <br />\;JDRESS' LJ ~. <br /> <br /> <br />, <br />) . <br />{ ?cttU.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRlIILLS <br />BUILDING DEPM\nlENT <br /> <br />.. <br /> <br />\npLICANT <br /> <br />PItONE,51-3 '-.232.. -- ,27(1 <br /> <br />" <br /> <br />r)h'NER <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LSGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SU13DIVISION <br /> <br />~',\RCEL LD.tl <br /> <br />_SiGn/Temp. <br /> <br />_Addition <br />~Sign <br /> <br />/~teration <br /> <br />_Repair <br /> <br />_Install <br /> <br />',,'ORK PROPOSED :____Ne\,) Cons truc t.ion <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />i'ROPOSED USE: ____Single Family <br />~mmcrciill <br /> <br />_H/F <br /> <br />_tl of Uni ts <br /> <br />.__H/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_RCSU:l\n'~\n(: [, llc;llth Department Approval <br /> <br />EUILDING SIZE: <br /> <br />~\_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />SOmlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS [, (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) Sr::TS OF nUILDING PLANS & (1) SET ENERGY FORNS.*'" <br />**COPY OF CmHRACT REQUIRED. <br /> <br />ElillIT:L.REQUESTED <br /> <br />__BUILDING <br />L/fLECTRICAL <br /> <br /># "7 ' <br />S ?/Jl./y //(l) <br />, / . <br /> <br />{C <br /> <br />o Valuation of Total Construction <br /> <br />MIP Service <br /> <br />v Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />s <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOfING <br /> <br />SPECIATuTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />**~**1ru**************~*~****************** <br /> <br />Signature <br /> <br />~~~R SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration U <br />~****************TI***************~******~* <br />/) - " () H /~ ", <br />E1.ECTRICIAN la-a<..2 ~.Lcc/Z::<-~ CompilI1Y 1>['.( it..<:. c0-c-7~~ <br />__ / State Cert. or Eegist. II <br />//l'7 (?i-:Yt City License Registration ;',! <br />f f .;I .f: 1.; * 01: +. ..'c *"* -!c* ** ** * * * '*"* -.or..... 1: -k-!r...'t **** '1't* '1':-!: 'I': o{: * *,':-;': ** * <br /> <br />n1JIT.DER <br /> <br /><v <br />// <br /> <br />Signature <br /> <br />signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration II <br />*-!r*****************~********************** <br /> <br />PLUMBER <br /> <br />Signa ture <br /> <br />Company <br />State Cert. or Regist. 11 <br />City License Registration 0 <br />*********************~******************** <br /> <br />i'lECHANICAL <br /> <br />'. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration lj <br /> <br />0THER <br /> <br />APPLICA nON APPROVED BY ::37;:;:;; ~~~' :;~:;: ~.~. w, *w**'.. <br /> <br />PEIU-tIT OFFICER. <br />