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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT San.tJ J)e re h2pflt o.'d Corr-.-fUr.<.(j I <br />ADDRESS 17 d3 N. f-J, ()~ 30 J, DidP (L ~ <br />OWNER ]r;LOnV'If'L1J (Y)~'I('fL.o .A-ris fu-l-fr <br /> <br />~~. <br /> <br />PHONE <br /> <br />9{Jq S-&7-7QQ;;J- <br /> <br />JOB LOCATION <br /> <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />.3 <br /> <br />BLOCK <br /> <br />LOT SIZE X AREA SQ. FT. <br />SUBDIVISION);;"c.ornilet D VlRJ'Ltl P -k--& &fp,.... <br /> <br />PARCEL I.D.# <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# 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: ;)1 0 XL<::;{) , <br /> <br />]3UD <br /> <br />Square Feet, <br /> <br />/1,70>- I <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.~* <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />V BUILDING <br />V ELECTRICAL <br />c,/ MECHANICAL <br />V;LUMBING <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />~ Florida Power Corp. <br /> <br />_\~.R.E.C. <br /> <br />$ <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: 145 I FT. <br /> <br />.Other <br /> <br />****************************************** <br /> <br />Signatur <br /> <br />CONTRACTOR SE~QN^ <br />Company' ~~ J:ed op~ reD- ('~ r'lVl ) IA-c ' <br />State Cert. or egist. 4F C-Pf..iJ'/i)4~ ./ <br />,- City License Registration IF )11' <br />****************************************** <br />'Rober-<\. vY\o.H\1'\ <br />ELECTRICIAN ""Q~ ~e::+v'I(, Company nJa~ eLu<-1rlc . <br />'712 o. _ /'JJ /}/I_. _ "L State Cert. or Regist. if EROOIJJID <br />Signature ~ /I2S.. r~~",- City License Registration ~F ~ <br />****** ********************************** <br /> <br />Company ~rf ~Ie~ ?~ J1,1 b /....,. <br />State Cert. or Regist. # ~ <br />City License Registration <br />****************************************** <br /> <br /> <br />./ <br /> <br />Signat~;.~ <br /> <br /> <br /> <br />v <br /> <br />Signature <br /> <br />, ~ <br />Company ~<;On('\ 'So '&~.. . C() <br />State Cert. or Re~ist. iF ~(,()OOI8J:o I <br />City License Registration IF .;;;:( <br />~********************************* <br /> <br />v <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />AFPLICATION APPROVED BY <br /> <br /> <br />**~*************************** <br /> <br />PER.~IT OFFICER. <br /> <br />iI / I (--99 <br />""Iu <br />