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<br />.,. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />.3"" 0\.obi\L <br /> <br />\-k.... '1 q B t-..J <br /> <br />OWNER G (..c,o.L W~L\.~(t 'N""\ <br />~ <br />JOB LOCATION 5 '0 ~ ~ \ <br /> <br />(=i <br />o;>L>~s <br /> <br />\-\lY0C\ L <br />LkLh <br /> <br />So.\~<- <br />F\ PHONE L, ~ S . ~OO 'I <br /> <br />ADDRESS <br /> <br />Vu\~ <1"-1 t..~ '1L\lL <br /> <br />LOT SIZE St> X ~O AREA SQ. FT. ~ C)()O <br /> <br />LEGAL DESCRIPTION: LOT (S) 4- '\ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />V'I t\ i.c.o..L ~\(\\.J....t <br />,) <br /> <br />PARCEL 1. D. ~t <br /> <br />Q . Q(,p - 'a l .' -.U~ - D - t\ '\ <br /> <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Move <br /> <br />~emolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4~ of Uni ts <br /> <br />XM/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ;;) L\ X'\ [) , <br /> <br />Square Feet, <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 />_BUILDING <br /> <br />$ \ ~?-()O Valuation of Total Construction <br />\ ~ D AMP Service ./ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_ELECTRICAL <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 <br /> <br />('() ~-I <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />. CONTRACTOR SECTION <br />BUILDER r-\~'" 'f'{'\ \-it "::> Company <br />~rt ~O State Cert. or Regist. 4; L-.D 1.-\ 38 ~ <br />Signature ' \-\ ~ \J.~. City License Registration 4t ...1::)40 <br />*** ************************************* <br /> <br />ELF.CTRTCIAN \-\O'r""\.L Dw"-l e.. (' Company <br />I ~-"" State Cert. or Regist. 4t <br />SilZIlature ~C1"..P ~ ~ City License Registration 4t <br />, ****************************************** <br /> <br />PLlJMRF.R \\O'f"C'-\ L ()....) ~ ~ (" Company <br />I ;/~ State Cert. or Regist. 4~ <br />Signature/'I...l..b1.,..L- ~! ~~ City License Registration 4; <br />****************************************** <br /> <br />MECHANICAL Nt A. <br /> <br />Company <br />State Cert. or Regist. 4t <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4t <br />City License Registration 4t <br /> <br />OTHER <br /> <br />.~************~************************ <br />APPLICATION APPROVED BY -+L(...h..;(---1 ~ ~. ~ PERMIT OFFICER. <br />