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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />/./.. -) f; J ' /' /t//J GI/.,I:~ .I/:~ <br />?', <br />1\ ~ ~',"'S:9 t> Z (,:(11/,,41, I!., ;;JJ <br />[-I1.J .. . .-b.( /,pJA!1.,.-'vr, <br />~ /'>-1...I1~' j J J^ 51-.... S,/... {lIdV' <br />Jon LOCATION <--./ //\ '7 tit f. ere;- L lAJ j.~ d jL;YL LOT SIZE X AREA SQ. FT. <br />I <br />LEGAL DESCRIPTION: LOT(S)~ '77' BLOCK ~ SUBDIVISION ~I U){~).'l"4,h.JUtC1t1ItA.J......., <br />I . <br />PARCEL I.D.ldO-21:;-Z f () i 'Le)'- OOOO\)- <J ,-;S1.J <br /> <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE eft J ) <br /> <br />'J!?.1-r;,J~i' <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. __Sign _Hove _Demolish <br />PROPOSED USE: ~ngle Family _M/F _l~ of Units __M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 FORl'lS. H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PF.RMITS RF.OUESTED <br /> <br />.../BUILDING $ 35; <br />vELECTRICAL /JV <br />-LMECHANICAL $ <br />-L,PLUMBIN'G - ... <br /> <br />J J J J..:!- <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />~R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />R00FING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />~rame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS:)rJ:' FT. <br /> <br />****************************************** <br /> <br />Signature W <br /> <br /> <br />ELECTRICIAN ;7~r/ </'IJJ Company ~1A1<UJ) /.-.../ ~ <br />// / . // State Cert. or Regist. i~ tJ-~ I;}--I'I/ <br />Si!mature 70~ r;r/~:C:- City License Registration i~ :).0 b <br />/ ******************************.*********** <br /> <br /> <br />CONTRACTOR SECTION . J - <br />Company IAJ . ()-. Ai t-. I~;"" ~"-') " ~. .~..{ . <br />State Cert. or Regist, if \..... oJ:~J&.)~1 <br />City License Registration # - ~ <br />****************************************** <br /> <br />Signature <br /> <br />~~ <br /> <br />Company ~,- <br />/I / State Cert. or Re "ist. i,f <br />1&1 ~ City License Registration <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />II I' ~ 4- / ' " <br />MECHANICAL Company ~ /'C-l o'd{.i{lr <, Ir /t?/)c!; ho/;// I/O' <br />_' F- / State Cert. or Regist. 4,!_/tL,/li7L!/7:9;; 1'/ t/ <br />Signature ~'~1;;?-J c:---~~/ City License Registration iF /1( <br /> <br />~*****~************~**~**~**J,.,..~~.~.~~.~~ <br />~ _~ .... ~~ ..... 11............... n ... .. .. .. <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 />d.MAOd //lA'J..J <br />~ ~ <br /> <br />PERMIT OFFICER. <br />