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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT D ~ J .' d ?- j/VI ,'C t c'//e <br /> <br />1~"7 ~/~ -/,,',. r S <br /> <br />ADDRESS / '7 S I 'r~ Ie ')> d ~r(} d ..LIe I- i l<..J e ~ ~ </ C (~PI'!I PHONE ~ 7.j- Cl 9' 7' 9 <br />, , I' ( , <br /> <br />OWNER ~ ~ ,2--1 e ~)" . ~ b tJ u c;--- <br />JOB LOCATION --5-0 0 5' _z!f:,-t/ &-/ <br /> <br />See IT -rh ct.. NY" <br />LOT SIZE_____X AREA SQ,FT, <br /> <br />LEGAL DESCRIPTION: LOT(S)6 f-h/7 <br /> <br />BLOCKd~? SUBDIVISION <br /> <br />PARCEL I.D.# tJ /-.;)~ -.j./ <br /> <br />c1 t!'J / 0 - .;). d [>& 6~ ~ (!J d 6 0 <br /> <br />WORK PROPOSED:____New Construction ----Addition ~Alteration ~Repair _Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4~ of Uni ts <br /> <br />._M / H <br /> <br />-+-commercial <br /> <br />+Restaurant <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />& Health Department Approval <br /> <br />BUILDING SIZE: I?, .,( X ~ CJ, J J> Y <br /> <br />Square Feet, / S' ItJ.R '/ C /A--t 1./ Height <br />/ <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 />4BUILDING $ /~ d -5 / i!.Y-- <br />~ELECTRICAL AMP Service <br />_MECHANICAL $ <br />~PLUMBING GAS <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_____W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION . <br />BUILDER Jd A j<( L - ~ ,,""t-7 ;'-r k Company J"d 4/,-( I., ~~........ , '~c? C tf (OJ..i' ~ <br />~ :> ---/" ~~ State Cert. or Regist. IF R8 ,5 7-.$.:L.-L <br />Signature L -A. - ( City License Registration 4F ~ S <br />****************************************** <br /> <br /> <br />::::::::'0 Company Q,~" i \~~ <f- ( J:,c < <br />. State Cert. or Regist. 4F ~R(JtJ() :?? <br />: --- ~~ J~.......*..*~~;~*;;~~:~~:.~::~:;~:;~~~ ;; pt; <br /> <br />/ IIi' 3d' '/ (J' . j L' b <br />PL\J}l~ER {.Z-~ 2 ~L, ~~:~:n~er~< or ~e~is~< ;(1;- 1<}:off1r;/t! <br /> <br />Signature _ ':L ~ v?-r . City License Regis tration 4F ,')$1 ~ <br />****************************************** <br /> <br />MECHANICP <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. # <br />City License Registration 4F <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />)1**************************************** <br />~AAA' ~ .>!!f ~ /}A1L-J <br /> <br />PERMIT OFFICER. <br /> <br />.. <br />