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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT d/u;/J 4~~ ' <br />ADDRESS &/'/1 Z~.-P/./'-(/C ,d./J}qZ <br />OWNER /-;e./lA/CCS ~/l4SS <br />JOB LOCATION t?~/ C/I 7c.7lI/;::t. ft/.LJf L LJ;{. - 2#/1 tj LOT SIZE :;5 X /00 AREA SQ. FT. 652:; 0 <br /> <br />.0/1..... - 2'C;P/;;'-/&/iL-I /2.-)-; PHONE/%]-;?2 76 <br />, <br /> <br />LEGAL DESCRIPTION: Lor(s) <br /> <br />./ <br />I::> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.lF <br /> <br />O:5.-<;;U..;;J/ -/3 - ~, ~ ,(,J/S. ,1 <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Ins tall <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _l~ of Units' _~M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: .~6 X 2;?' , <br /> <br />/S-6Y <br /> <br />Square Feet, <br /> <br />/.5 7!J"z 7 <br /> <br />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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ 7S6.trO .. ~- <br /> <br /> <br />~BUILDING <br />~ELECTRICAL <br />.~. MEiCHANICAL <br />.*- PLUMBING <br /> <br />$ <br /> <br />o?~.500 <br /> <br />Valuation of Total Construction <br /> <br />$ <br /> <br />/ 'J'(!J AMP Service <br />/dSQ <br /> <br />)./ /A- GAS <br /> <br />Florida Power Corp. <br /> <br />~W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />"tY A- <br />. <br /> <br />ROOFING <br /> <br />A///J- <br />. <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />/l1.lv< <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />. ****************************************** <br />/LJ2LSO."J ~7/M ~ CONTRACTOR SECTION <br />BlJILDER //,.d!. Z!//2.:J(!.5;717'Z:: /J1t),~?' Company /1,/[ VUl? ;!5l7J1~ <br />~ /-7 State Cert. or Regist. iI <br />Signature ,......, ~~ City License Registration # <br />. ' C/*********************************'':****'''*** <br /> <br />/)108/(.6': //M?ES Z/(.JG <br /> <br />3~s~ <br /> <br />ELECTRICIAN tp~/1dL::.A/c..- .~/edA/J company.,iL IA ;r,.:/JVJ~\,,}717 (':i4fl/tiJr--1A..) i::C:cL("7Uc <br />iJ/ ~.. ~-,/ ~ State Cert. or Regist. # <br />SilffiatureU[ d/i.t~ u/'ut'~~ '-Fv <- ~City License Registration # 3R' <br />~ -** ***** ****************************** <br /> <br />PPIMREB A/ELCi7J,v /2r Company A-:c-/;-,nJ /A<~ <br />~ State Cert. or Regist. W <br />Signature ~ ~ City License Registration i~ /tJ F' <br />~ '_ **~*****~************r~******************* <br />~L:.. / A..) D-J!yJL- { , /J " <br />. /l.. 5 /. L//Jd ,/#-. Company ,(3.4 /; /L S ~/7/1;K/~' 6.4,5> 4rJ..G JLc........ <br />State Cert. or Regist. # <br />City License Registration 4F _ 7 Y <br />********************************** <br /> <br /> <br />OTHER h/.?./:c;- .t3c~ Company fj "#" #1lJt?;t~ <br />~ //_ State Cert. or Regist~ # <br />Signature)' ,'{Lu:r< City Lieense Registration" '1</ <br /> <br />I r *~***.**.******~;************************* <br />APPLICATION APPROVED BY 4AA1~ ~~~.J- PERMIT OFFICER. <br />