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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~~Q..~ \U\); ~NE3 <br /> <br />ADDRESS 35c~-D el1A e,W&, TA-m,~~ ~L 331o\.~HONE <br /> <br />OWNER V~ u.Y'~-'-\ ~ t S~ A: <<-R.. . ~. (Otft ~ <br />1\ ~ ':1. \ \ a'\t\: ST <br />JOB LOCATION' ::;> \ \. -\ - . <br />~ <br /> <br />In a.la - c;}Ot{- () <br /> <br />LOT SIZE <br />BLOCK ;(".~ SUBDIVISION <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.i~ l'-\ - ~~.;l..\ - C\Gk) - Q.::r~oo - ro~ <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair <br /> <br />~n:tal1 <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~gle Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_i~ of Units <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMITS REOUESTED <br /> <br />_BUILDING <br /> <br />IS; a0J:) c8 <br />$ . <br /> <br />valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W,R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br /><: T ~ c.s:.. <5) <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />CONTRACTOR SEC~ .--:::> {\- \ <br />}3U1LDF.R ~WEN D ~ C-oc>\:-e- . Company m. ~CA-.0 K~oQ)L~ ~ I\J 5 <br />?~ '~ . State Cert. or Regist. itC-f>><:..<:>+8"'Iolo <br />Signat C\S( lD, C. City License Registration 1F ~qq <br />* * ****** ********** ** *f, *f, * f,* ** *f, ,', ,', ,', i: f: ,', 1: ,', * <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />f,LECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, n <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, n <br />City License Registration n <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~*..******.~*****.*.**.*...******** <br />r.:r /111 -<' ~ <7 A A"Jv,. "J , <br /> <br />PERMIT OFFICER. <br />