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<br />(ox;, '3/3 - 713 - 3:2 '7 3 <br />/1-1,.:. e"r &le,./.sJZJ6. <br /> <br />APPLICATION FOR PERt!IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT yJO'(i?.SL.€ 'f <br />ADDRESS PO. Box <br /> <br />Co. <br />l <br /> <br />T Nc... <br />WIlJMINyTC>;.J, Ale Zf40tp PHONE 9/9 <br /> <br />:l9j- S- 300 <br /> <br />OWNER <br /> <br />W~st-€V <br />, <br /> <br />3;);)7 <br />Ot). I .Me. <br /> <br />JOB LOCATION 38497 S4 eA.:::.r <br /> <br />LOT SIZE /3'-- x ,tt' AREA SQ.FT.'<>5"380 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.iF <br /> <br />WORK PROPOSED:_New Construction _Addition ~Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_iF of Uni ts <br /> <br />__M/H <br /> <br />V"'Commerc ial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />, <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />70 x 40 , <br /> <br />2800 <br /> <br />Square Feet, <br /> <br />/5 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1.S.'''' <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 />~ELECTRICAL <br />"f <br />_MECHANICAL <br /> <br />$ :< .500 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOnNG <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 /> <br />CONTRACTOR SECTION _ <br />Company WtJJG5 UJ 't Ca. J ..t ,.Je. <br />State Cert. or Regist. iF Poll 00-$""" 9Z <br />City License Registration # <br />*********************************** <br /> <br />Signature <br /> <br />ElECTRICIAN <br /> <br />Company _F'lKS( e tA..s:s tiG~c::.-TK tC- <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ;1 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt-lIT OFFICER. <br />