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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 91, <::; 5~LL (Y) ~ fLOLu"-( <br />Olf...../..vl . _ 3,354-\ <br />ADDRESS ~ ~( n N t:-Et J4 c.T', '7 c pH Y1l. ),\,1 L/ <:.) FL PHONE <br /> <br />OWNER Y<. O.$S 6LL M, ~ QOL,..J t-J <br />if 7'-19 <br />JOB LOCATION LCOQ"l- .s'\: Z EPHltiH\LL S:. LOT SIZE_X <br /> <br />LEGAL DESCRIPTION: LOT(S) I~ BLOCK <br /> <br />PARCEL 1. D .l~ 9.. Eeo 12 f) P L ~ '"I B j--<?..- Cl <br /> <br />7'80 (~24- <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION C H HL FoNT <br /> <br />vlLLHS <br /> <br />P &:- '23 J. <br /> <br />WORK PROPOSED: ~ew Construction --Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign - Hove _Demolish <br />PROPOSED USE: ~Single Family _M/F _4~ of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: J..t-3' '8" x:51 (,: <br /> <br />'703 <br /> <br /><::7 ( 4 111, - -11 <br />Square Feet, 0 0 nl,HE J::-MV~Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ~,* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br />~LECTRICAL <br />~ECHANICAL <br />~UMBIN'G <br /> <br />$ 30 000 <br />) ~!? AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~lorida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ )\ 00 <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~lock _Frame _Steel <br />FINISHED FLOOR ELEVATIONS:~--r FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~~t,L M .2>}01-'-- <br /> <br />CONTRACTOR SECTION~ <br />Company I '<;~FLL.. lr1, gROLu"-! <br />State Cert. or Regist. iF C& c.c3 Jb 1/ <br />City License Registration iF _::2..4-3 <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br />Si!mature ~l}...)QL.L M,~~ <br /> <br />Company q U.sSELL n1. 'b1{Owl-..C <br />State Cert. or Regist. IF ~f< OOID:5CJ) <br />City License Registration iF _ !6-?S <br />****************************************** <br /> <br />Signature <br /> <br />~~ W\ p,~t~ <br /> <br />Company q U.5S~LL <br />State Cert. or Regist. a <br />City License Registration <br />****************************************** <br /> <br />fill ~ f(Owt-,( <br />C!.,F ~03 Cfqq Ie, <br />iF /0') <br /> <br />PLUMBER <br /> <br />MECHANICAT. <br />Signature QJ'>uJ.A- "'-'1, ~ \'tr1-...-.. <br /> <br />Company Q U.5SELL In. 'i.3not.....f'.-f <br />State Cert. or Regist. ;F-LJ4 ('04f?.b4 <br />,City License Regis tration iF '/ J <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY '7Y;':;:~'~;;':;:;H''''''~ ".** {, ,**. ** , PERMIT OFFICER. <br />