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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-4 . /'/ --I A/ I /;'? I <br />APPLICANT /j?~~'Lf' (1a-/../lb/ ~ /t.;/.A::S-/JA " y/UflA/ <br /> <br />ADDRESS b'/t,/J ,,(!/LJ6li/.~ ~/ ;Z-?;tJH.~~~, 6:;.33:::'-/1 PHONE J/g 7% Z-7Z7rf, <br /> <br />OWNER -a~U/l.f ~&JQa/oJ <br />r7 .' a=p'//d~&' _ <br />JOB LOCATION 6/,/". A!~.LJhad'7'f-/A-. Z~/tI LOT SIZE~x/Oc.> AREA S~. .ISO'" <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION /?fll1,-/d- ~'JOC- <br /> <br />PARCEL I.D.# <br /> <br />S --;26 d/- /3 -tJ -0.3(.:,(.7 <br /> <br />WORK PROPOSED:____New Construction _Addition -,--Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: .~S ingle Family _M/F _# of Units' *-M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br /> 2X' X/:,'--( / I GiJ-- 9/ ; <br />BUILDING SIZE: Square Feet, Height <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. 1., * <br /> **COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />..LELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />/57) <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />-K.W.R.E.C. <br /> <br />I <br />~MECHANICAL $ <br />*' PLUMBING <br /> <br />/300 <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />4/ocllL. ylu.<.....Q..ther <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />_Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br /> <br />~/H <br /> <br />CONTRACTOR SECT~N ~1..?ta ~. ~// ~ <br />Company /' - /!, ( ltZ <J-di ~ <br />State Cert. or Regist. # <br />City License Registration IF _=5:50 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Company {/ /7 V0~4I--?/Y-u z;,f.4.J <::-- <br />State Cert. or Regist. # <br />City License Registration # q 9 <br />********************************* <br /> <br />Company /[/.../ ftJ7-' ~/A ~0 <br />. / <br />State Cert. or Reg1st. # <br />City License Registration IF /07 <br />****************************************** <br /> <br />company~~"'b-~/,,c?;VL> t::~ --:.4b .CL- <br />State Cert. or Regist. # <br />City License Registration ~F 7? <br />************************************* <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br /> <br />c-.I ,,!)' t\\ <br />,'-. ~ -.J <br />~l'-... <br />~ <br /> <br />1',,= !'--.", ,.., <br />\. .. <br />V) 't. <br /> <br />'. <br />