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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~~5Gf~~~ <br />/ve-<!f)Y~ 1-;22 -72 6S~ <br /> <br />APPLICANT ~ '- ~ ' ~\.)~\-Jc.. \,~ <br />ADDRESS S', '-\ '\ eo, ~ s ~ G - B '- \...-\.. S <br />OWNEh\~ ~ ~ ~U\<..):::JE\,i:. <br />JOB LOCATIO~CR. 't:>~~~~'\) ,"'~c;\-~\l)m'~'O~OT SIZE~X \~(') AREA SQ.FT.la)~()~ ':!::. <br />LEGAL DESCRIPTION: LOT(S) C\ L..\ BLOCK SUBDIVISION '5 \ L\)E ~ ~ ~ \<... ~ <br />PARCEL I.D.4F 3 - ~lo -' ~ \ -* c \ ~,~ - cc~ '-C~ - C C\ \.\:,'- Q <br />WORK PROPOSED:~New Construction ----Addition ~lteration ____Repair ____Install <br /> <br />PHONE ~~ ~ -~ '\ l\ {) <br /> <br />'~ <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single 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 />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: La i x55 I ~bS /LfCo3 /]'l{ / 3q ~quare Feet, <br />I I <br />(2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />(3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />OF CONTRACT REQUIRED. <br /> <br />q <br /> <br />Height <br /> <br />ATTACH <br />ATTACH <br />**COPY <br /> <br />& (1) SET ENERGY FORMS.** <br />FORMS.** <br /> <br />PERMITS REOUESTED <br /> <br />X BUILDING <br />~LECTRICAL <br />_2~:~~1EICHANI CAL <br />~PLUMBING <br /> <br />$-0 cl J 5 CG ,est) <br />\~ :'t:) AMP Service <br />$ 34t:; ~ ,~~ <br /> <br />Valuation of Total Construction <br /> <br />~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 />CONTRACTOR SECTION <br />nUlLDER R ,.Q. . ~~ Company <br />State Cert. or Regist. 4F c...~" . Q>',- O~ <br />Signature t C-.J , City License Registration # ~ <br />****************************************** <br /> <br />F ~.L Company f- ~ e'- d / c! C //~?, C <br />) ---:/- State Cert. or Regist. # /!/C ~'!fJ~/}./6*u <br />.p ~ City License Registration 4F .J d <br />****************************************** <br /> <br />PJ.1lMRERC,~.Jt'F ~ Company ~a Ii Wi...r Pfu,,;l(~ <br /> <br />, n It f) State Cert. or Regis t. 4F <br />Signature .. x. ., VVlt"2:JY'\. City License Registration # ~/;l S- <br />f, ' *********************il',,*,':*****~'****1:****** <br />, <br /> <br />RT.RCTRICIANLU\\ II ~ ~ <br />Signa ture :;; )/L~-{,J <br /> <br />w:CIlt\NICAT. A~~ Company <br />~ State Cert. or Regist. 4F <br />Signature - _ '7'--/ " City License Registration 4F <br />****************************************** <br /> <br />#~ <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration 4F <br /> <br />OTHER <br /> <br />Signature <br /> <br />~*** * ******~7**** ***+ ,* ***** ** * * ** * *** * * * * <br />APPLICATION APPROVED BY 4dA~~?jJ~v.r <br />(j , <br /> <br />PERMIT OFFICER. <br />