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<br />.APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~ Ua\ C\")~~ ~ r\\~VY"'\~<s, <br />I <br /> <br />ADDRESS~. C). ~~X ~;>~lfl ~f(l?l[\~A1.'O 0 I~ ~~Io020 PHONE <br />o · <br />OWNER W'\a.."'\ \'Yl t2.~. J a \'Y) "U..e...\ SO-MLJ\.. ') <br />\" 6 <br />JOB LOCATION "S', \" tol O~\<$ - 1-'OJCtnoo.. ~". <br /> <br />LEGAL DESCRIPTION: LOT(S) to ~ BLOCK <br /> <br />~ 00-"'0 ;J- / &; j /r; <br /> <br />LOT SIZE~X 9o.J.JAREA SQ,FT, <br />C'. 0 <br />SUBDIVISION':::::>~ , ve. r ,q Ks <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />._M/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: to 0 <br /> <br />_Restaurant & Health Department Approval <br />,,/ ~t(j/ <br />r2~"1"i Square Feet, <br /> <br />x 5''' , <br /> <br />/01 <br />J <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & 0) SET ENERGY FORMS,*'" <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />LBUILDING $ -<(~ I 7BJ../ 00 Valuation of Total Construction <br /> <br />~ELECTRICAL \S 0 AMP Service Florida Power Corp. _W.R.E.C. <br /> <br />~MECHANICAL $ ~ J 00. 00 Valuation of Mechanical Installation <br /> <br />~PLl~BING ~ _ __GAS ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Frame ____Steel Other <br />I 1_ I' <br />FINISHED FLOOR ELEVATIONS: /5.. 'C/pT. <br /> <br />****************************************** <br /> <br />BUILDER J.. 0 112 C!!! #19 <br />Si~~~ <br /> <br />CONTRACTOR SE9~~ <br />m"r22iA..C'0 Company I (}{)acJ.,tncM.J-!-iorne5 <br />~ ~ State Cert. or Regist. # c....f&2-~ 2jD;;;J-/ <br />~ ~'o<City License Registration jf ...397 <br />********* ****************************** <br /> <br />ELECTRICIAN Denise.. m, Vs a~ fe~A[O Company {l,11 f 1<=(1 +~,. c. <br />~ - /;? ~ State Cert. or Regist. 'I ete :!.ogo~.s'" <br />Sig ~ --Y;7- 7' /~~-co-- City License Registration # c2 ~ <br />,~ ******q ********************************* <br /> <br /> <br />Company <br /> <br />"------ <br /> <br />Company \\t"\~~\-\lA.",'. Y\ d <br />State Cert. or Regist. IF ;€jtfC)t)/.-f"6,</(', <br />Ci ty License Regis tration:.! J D '7 <br />****************************;"":;: * ,',* * **,,**,' * --,-~ <br /> <br />Signature <br /> <br />OTHER <br /> <br />------ <br />---- <br /> <br />_ Com:e?_ill' ---- ..' <br />--~~or Regist. IF <br />Ci ty License "Regi-s--tx_a,tion ~F <br /> <br />Signature <br /> <br />---- <br /> <br /> <br />PERMIT OFFIC~ <br /> <br />APPLICATION APPROVED BY <br />