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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />PHONE '7 5'2-- -5 '-/ q 0 <br />C. A- Ll) !AI ELL <br /> <br />. <br /> <br />ADDRESS <br /> <br />OWNER ~R\ MICS, HERBERT <br />510 '"35' Ii tfI sTRLfI <br />I I BLOCK SUBDIVISION <br />I j- 2-b- 2-/- 0c910-1oCfO()- 006'0 <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I,D.4fr <br />-"C,~''''~~':~'..-.,; ~..;'.,',-;"';.",,,_. <br /> <br />WORK PROPOSED:____New Construction <br /> <br />/AdditiOn <br /> <br />____Alteration <br /> <br />____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />_Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />____4fr of Uni ts <br /> <br />.____M / H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />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 />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.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 <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br />G {J CONTRACTOR SECTIOtj(? 1. , n -1 --t-( <br />BlJILDER 1<A-o\.f l.:.Ut,V,v+Nl:r+tl}vv\... Company ( ~UII!I/JI{/JIrfJ4.M. ~s..L~Jfa~ <br />/) . 1 ,:7 State Cert. or Regist. # CBJ::,C) Lj3b3~ <br />Signature_ ..~ {~.J-?f!:h-- City License Registration # ,':? ::L__' <br />****. ************************************ <br />~./ <br /> <br />r: / / 'V~ tI ~rJf ~ompany <br />IJ /\ State Cert. or Reg1st. 4fr <br />r. ,{ ~.P~ ( (J ~ Ci ty License Regis tration lfr <br />****************************************** <br /> <br />. ~PtltwltIJMs. <br /> <br />RT.FCTRTCIAN non ~ <br /> <br />Iy <br />, , <br />Signature 1\ {C.-t..__L/ <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />1/-.5- <br />, <br /> <br />MECHANICAL Company <br />State Cert. or Regist, # <br />Signature , City License Registration iF <br />***~************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration if <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />