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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ E ~tL &--1 ;t/~ #, ~ <br />/' +, .' r - /' rPbtJn; <br />ADDRESS f 7J'~ IftJ g/JX ~fL r A:t-{ t~ a:::. PHONE <br /> <br />~3-,6;L3-6t ?/ <br /> <br />OWNER <br /> <br />JOB LOCATION3?'i'~-O ~ ~ <br />LEGAL DESCRIPTION: LOT(S) ~ <br /> <br />LOT SIZE $/ X/ t!J'V AREA SQ. FT ..s1t.9-0 <br />S UBDIVIS ION 1z./,4 )4v' ;1,(0' tv'/# 0 <br />, <br /> <br />PARCEL I.D.~F / If- - ;2.b - ;;. /- ()/60.- ~ IJ/!J9C? <br />WORK PROPOSED :bw Construction _Addition _Alteration _Repair _Install <br /> <br />BLOCK <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />, <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X_I <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S. ";0', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ 41} m~ t/'tJ <br />15-j) AMP Service <br /> <br />Valuation of Total Construction <br /> <br />-X.....ELECTRICAL <br />l/ .,ffi <br />~MECHANICAL <br />)C.....PLUMBING <br /> <br />~ Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ /3~.cv <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 />Signature <br /> <br /> <br />CONTRACTOR SECTIJ! ~r:: LJ C. ~ " 11 <br />Company V I I 1/1\ r; f/1-.I/ <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />/J;~/;I /3 <br />717 <br /> <br />::::::::~ Company ~1I~{w :s~~s. <br />. State Cert. or Regist. IF '/.91 <br /> <br />. 0 - ~ *~~;*:X..*~~~~*~~:;;~~;.~;~;~~:~~~~~ " . / "" / <br /> <br /> <br />PLUMBER Company ~t/I~~M~~L <br />- ~ ~ ?tfj. State Cert. or RegiSt. '.' - .- - - D~? /7/ <br />Signature . . . . _ City License Registration iF 9'b <br />*********** **********ft******************* <br /> <br />Signature, <br /> <br /> <br />Company GuLl I ~OAJ MFLlIt'r L.. <br />State Cert. or Regist. ;.' 0.40 ~~9~C'(~ <br />City License Registration ;F ~'/ <br /> <br />************************ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~***********~~************************ <br />ct.~Pd- ~ -"/)A..o~ <br /> <br />PERMIT OFFICER. <br />