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<br />APPtICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />APPLICANT ~JJJcL ~ G;.:;.;:?6'"..dS <br />'-170,3 C?OU~! <br />-J3J/IJ A. <br /> <br />JOB LOCATION S~[ fr:t.: Aiov/$ <br /> <br />f~ <br /> <br />OWNER <br /> <br />sr a..Gri Z.EFW't/fy!/LLs <br />C.cM,?I;) f( ,L/5 <br /> <br />J-l. <br />:I..:1J""';'1 <br /> <br />PHONiYIS) 732.'- 3/10 <br />-- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE 1"2;'2... X Jl.\ Y AREA SQ. FT. <br />SUBDIVISION W}/JS?c?ZJvf;' O.~I:.) <br /> <br />PARCEL I.D.# /1')- ~t~.- ;;J. / - 0 It., 0 ... t/t) CJOC) - OOA~) .- -3 () z 1--1 <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair ~Ins tall <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _~~ of Units __M/H <br /> _Commercial _Indust. _Swim. Pool .5ij.~'b Other <br /> <br />_Restaurant & Health Department Approval <br />BUILDING SIZE: ~x ~~ <br /> <br />Square Feet, <br /> <br />'? ~r <br />{ <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 />''I. BUILDING <br /> <br />$~ 5~l5' <br /> <br />PERMITS REOUESTED <br /> <br />;..iO <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel IILU#I/A-Ij,.JjYl <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />/ FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION S /'" '~......-- <br />Company V I.l ~ FtTc f [urn I JJ IJ fh J-hC., <br />State Cert. or Regist. ~~ 7611 <br />City License Registration iF i...?'IO <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />;ft*************************************** <br /> <br />. tt4<~d ~ . Vl4llAY <br /> <br />PERMIT OFFICER. <br />