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<br />APPLICh nON FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Y;qivtJf' 'I jf?()()l~S _ <br />ADDRESS .sf" ~ : \-~ (?e.fi dJd ',L /'I /.~ l;A'f-PHONE 7f:~ 2f..f3 <br />OWNER ,/ tJ / AI A/7i 1 t'. (lOt l f1 < ~ <br />JOB LOCATION La! ,71 (J,/~ t;;~Od LOT SIZ~X fQ AREA SQ.FT. 'liP <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I,D,# <br />I <br />WORK PROPOSED:____New Construction ____AdditioL ----Alteration ____Repair ____Install <br /> <br />_Sign/Temp, <br />PROPOSED USE: v/Single Family <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />.-L.M/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />. <br /> <br />_Restaurant & Health Department Approval <br />~ 1'.2 I <br />BUILDING SIZE: ::iiZi:.!:.x 1/0, 1c;2 x~g -=- ;:;<!;'YO;;uare Feet, <br /> <br />7lvJ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT. PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,u <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />/:2,000. a) <br />/ <br />r2 00 ANP Service <br />.t/ GO ,eX> <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />\ /Florida Power Corp. <br />- <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 />~ \\, tt <br /> <br />Other <br /> <br />TYPE 'OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />**********************~******************* <br />\ -----::> .\ CONTRACTOR SEC,!,~ \ N\ n- ~ \.\ <::\ "~ <br />BUILIt6 h~'LQ-.,^, ~~ Company ~i.~C'~ I' I~\h-.Q.. ~* ~-, <br />..../ \ L'7 j State Cert, or Regis . 4F <br />Signature ~.-/AY ~ City License Registration # ..s- 79 <br />/ ****~.~*********************************** . <br /> <br />EI.il~TR1"1 AN ifi fA! /Ii t: 7 d' ,,; ( 0 ",_.~ Company <br />?7 r~' LJ_.. , State Cert. or Regist. # <br />Silffiature V -?t ~~ City License Registration ~F <br />****************************************** <br /> <br />\,~ <br /> <br />Signature <br /> <br /> <br />Comp2.ny <br />State Cert, or Regist. # <br />ity License Registration # <br />************************************ <br /> <br />.:37 <br /> <br />****., <br /> <br />i-I ~ <br />MECHANICAL 1// ~n / /lJ fV~7 'S Company <br />V~" State Cert. or Regist. ~F <br /> <br />Signature. %~..:.....~....~~~~.;~~:~~;.~;~~~~~~~~~~ iF <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration l' <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />**************~************************ <br /> <br />11 ~ A~ . n .4A .<f.-.r <br /> <br />PERMIT OFFICER. <br /> <br />,. <br />