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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~1 L ~ 'fY\ o'T T <br />'3'3sg~ <br />ADDRESS 9l0t ~X !-r39 :5:FF'~ R, PHdN~f3-bS4-'1'3I~ <br />OWNER -=rAco ~L L. <br /> <br />LOT SIZE2oe~ AREA SQ.FT. <br />ge.c., ~/1LuP ~$:' __ ~'Z-, <br />BLOCK SUBDIVISION <br /> <br />JOB LOCATION <br /> <br />se 1/.4 of <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair _Install <br /> _Sign/Temp. ~ign ____Move _Demolish <br />PROPOSED USE: _Single Family _M/F _~~ of Uni ts ~/H <br /> ~ommercial _Indust. _Swim. Pool Other <br /> <br />L _Restaurant & Health Department App~vaL <br />.:;:sfc;,.t-j5 f"1LO~~t X I~ +- 4 U>lPrl..~ ..g.~S ''-1 't' ~, :;'lG-\-..l <br />1S..IJ~1J I ~C ' gEl: l2.8 X , Square Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />VBUILDING <br /> <br />$ <br /> <br />:3 , ScOt e.,S.. <br /> <br />I <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />ll_ CONTRACTOR SECTION <br />BUILDER M.crr-r VCJPrf lWc.., Company <br />n _I",_.J/J ~ State Cert. or Regist. ~~ <br />signature~~ ' . City License Registration # <br />***** ************************************ <br /> <br />Silffiature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <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 />~.i /\.A....'O ~ PERMIT OFFICER. <br />-- <br /> <br />ow <br />