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<br />- ----....~~----------- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRlIILLS <br />BUILDING DEPARTt-lENT <br /> <br />OWNER <br /> <br />l}/3f S <br />7~ / t. <br />/) /'/ ;VA <br />t -, ~ <br /> <br />~Pi- <br /> <br />('P. <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />~/J-St7/V nf3 :2 >JJL L ~ PHONE 7~g-. J 7/.'? <br />r; Ef) J C )-r~Il~ 1 . . --#--..., (\ <br />, I /: ~:2S3 r/3~ ~ JI... ,ol./L <br />/"Y b',r'V '_~ b'SCf< ~ LOT SIZE_X-- AREA SQ. FT. <br />)d~ <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION S).L VF (9 ufiJ-r <" <br />...s -;l G -;J..f - 0/ ;J.p -&I!)oao-/~::J..D <br /> <br />PARCEL I. D. ~~ <br /> <br />o / ,:;; () <br /> <br />{}OOOO <br /> <br />)A~ (] <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Hepa:lr _Ins tall <br /> _Sign/Temp. _Sign Nove _Demolish <br />PROPOSED USE: _Single Family _M/F _N of Units . .____M / H <br /> _Commercial _Indust. _Swim, Pool L;~7 Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant & Health Department Approval <br />c:1 X (;', <br /> <br />2/ <br />, <br /> <br />Square Fce t , <br /> <br />-'I <br /> <br />iN <br />") . <br /> <br />,.Df E~ <br />1miBA~ <br /> <br />RESIDENTIAL: <br />COilltERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS IX (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENf':H.GY fORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />ERRMITS REOUESTED <br /> <br />-,l-BUILDING <br />-t-ELECTRICAL <br />_MECHANICAL <br />-X--PLUMBING <br /> <br />$ <br /> <br />lj ....<Of). 11() Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp, <br /> <br />\-l.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />n. CONTRACTOR SECTIOlh I <br />BUILDER HI3"T }{;Jtfl(f ---- Company r;/f77' ~ <br />(/,4 -8- ~ J State Cert. or R~gist,!1 <br />Signature ~/l ,~~./ City License r:('r"i~~(T;jli()n <br />1, * * * * * * '* -I< -I< * * * * * * * * * * * * of< ,', 1, 1, * 1, of< 1, " .:, " '.; '.; '.; " ,.. " {; " " <br /> <br />_.....~:'....: compnny-z.-.\\;u.s- \..u::<-,. C;:C(\\j , <br />State Cert, or I~('r.ist. I~ ccc/)...Jb<;<;- <br />City License Ecr~istr;jtion II -1-D- <br />*********'********'************************* <br /> <br />PC' g i- <br />f! tF II tJ <br />II <br /> <br />10, <br />'19 r<17 <br />);), , <br /> <br /> <br />PLUMBER I} IJ "/ -r;; rJ iff _ . Company !} 17.1'.' ~ <br />I? -11 ~ u/ /J State Cert. or I\!'f~ is t. !.f <br />Signature LA./t4!v.L/J. . ~. City License l~ceistJ'<1tion i~ <br />************************************"****,, <br /> <br />~t:/ L (d, <br />D-j/F/Jo 1j~,f(J 7 <br />)~ <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License H.ef',ist:I':ltion 1/ <br />****************************************** <br /> <br />Signature <br /> <br />:::::t:::fZ~ ~~:~. ,~,n~ert~:/;;;:{:~~ :;P/~<( Od:iJ//:/l ' <br /> <br />__~ CitY~iCenSe Rer.istration N <br /> <br /> <br />APPLICATION APPROVED BY j*~~~~:*~~~~~***r**** PE~lIT OFFICER. <br />