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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ 'f'-C\f\t0 COt0CS-\-Q.0-C- -\-1\0 f\J ':J ,J=/\:)Q "- <br />ADDRESS ~l3~'S &,K - 5~, W - 2c rh'tRh. \\~ <br />OWNER ::S;Q~f',;)e E\C:.\t I ~~ (L - <br />JOB LOCATION 's \~S~ -U<Q.h'iS\r). RE. - <br />LEGAL DESCRIPTION: LOT(S) \..::>0'1 ~ \0 \ BLOCK <br />PARCEL 1. D. # /0 ;2 6 --;).. / - I :).. - (J - / 0 ( <br />WORK PROPOSED: ~w Construction ____Addition ____Alteration <br /> <br />PHONE '( <2:>2. - c> 52. 0;:;- <br /> <br />LOT SIZE X AREA SQ. FT. <br />SUBDIVISION W'("~<? (..A.)COb l'J) ^" rUo f?- <br /> <br />____Repail. <br /> <br />____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~le Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____4F of Units <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />;: <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: S'* X~, <br /> <br />\\q~ <br /> <br />Square Feet, <br /> <br />8( <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. ",,', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ILDING <br /> <br />PERMITS REOUESTED <br /> <br />--- "'\ l. -- " <br />$ ':):j \ ~U ~'" <br /> <br />____ELECTRICAL <br />...1 <br />____MECHANICAL <br /> <br />\(; 0 <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ \ -2.-,C<) <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLL~BING GAS <br /> <br />ROOFING <br />~ Frame ____Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />Other <br /> <br />0';-( <br />FINISHED FLOOR ELEVATIONS: L}~ FT. <br /> <br />****************************************** <br /> <br /> <br />SECTION <br />Company '''R'1l'1\t\.~ Co~s.-\-~'-'-c..\..~o~ }~j\)~. <br />State Cert. or Regist. IF c..~c.. -D ~~\~6r <br />c:-- City License Registration # R<- <br />*************************************** <br /> <br />Signature <br /> <br />ELECTRT CT AN M (Ar-;-1 ^ E I e..~ c..... Company M"",1-i" E I '-~ -h-; c.. <br />/ (). . J/ '11..-t.... /1 State Cert. or Regist. # e/(OOIIIlO <br />Signature ]~ Id_ r~. I ~~ City License Registration # /~? <br />*******~********************************** <br /> <br />PI.JlIl~~R ('~\"'^"'~' Company L ~,,\ \<'" <br />State Cert. or Regist. 1ft <br />Signature' . fll^- .) City License Registration # <br />**********************~******************* <br /> <br /> <br />MECHANICAl <br />Signature ~/ .Lf A <br />/ <br /> <br />Company ,8./1 Ii.e (s ;:;te~jJ"''''''" 0;:/,5 .JL ~c <br />State Cert. or Regist. # CACclf39 '118 <br />City License Registration 1F 7,f/ <br />****************************************** <br /> <br />'LIVe. <br /> <br />OTHER, Company <br />~ \ ~ :::;tdte -€-ert. or Regist. iF <br />Signature \~ ~ City License Registration IF <br /> <br />********~********************************* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />""'~ <br />. J <br />