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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Atv;Y1,4 - Y; LL i?oo.~e e.s <br />5h/O <br />/d+12r /Y}05S <br />JOB LOCATION 3? '13;;), <br /> <br />APPLICANT <br /> <br />INL- <br /> <br />Cjlh <br /> <br />Sf- <br /> <br />PHONE <br /> <br />78,) - ~ :J. '7 t./ <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />i (J ..f/, Aile <br /> <br />LEGAL DESCRIPTION: LOT(S) / -.J. - 3 <br />PARCEL I, D. # j "'{ -?J S' f--""") C-- 'L" tf ~L, <br /> <br />LOT SIZE_X <br />BLOCK K' 7 SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration ~Repair _Install <br /> _Sign/Temp. _Sign ____Move _Demolish <br />PROPOSED USE: ~Single Family _M/F _# of Units ._M/H <br /> _Commercial _Indust. ____Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />55' X 52, <br /> <br />J-300 <br /> <br />Square Feet, <br /> <br />j STtJLY <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 REO~TED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />19S~ ~ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />_M~-CHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R,E.C. <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />)( ROOFING <br /> <br />SFECIALTl <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER ~b <br /> <br />Signature . 7f?~# <br /> <br /> <br />** *********** <br /> <br />Company A-LCJn?/9- hI-€" Roo,t:e-R-S ::rA..JC- , <br />State Cert. or Regist. # (.'cC()'i937t; <br />City License Registration # ~7~ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />