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<br />.. <br /> <br /># <br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />APPLICANT ~ -:DP\d~ r~~, ~. <br />17;;13 tV. ~ 301 J~ G~HONE qD4::;[IJ/- '7Cft~ <br />OWNER Cfrt~re---I ~(!.,. / 7;;S~ Ga.€1 Blvd. ~~ . 7P0~~iJb, FL ,3~<;</"/ <br />~~ Il..J.O 'l'ot un\rl el.u A vL . <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ 35;<S-.;;<.} DOll) 08'ClJIJl) 0016 <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family J\-M/F /0 # 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: <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~DING <br />_ ~TRICAL <br />--LL..M~ICAL <br />~LUMBING <br /> <br />PERMITS REOUESTED <br /> <br />$ ;2{):3 /loo <br />~I <br />~~P Service <br />$ I Jl~e() <br /> <br />Valuation of Total Construction <br /> <br />~orida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />I~OOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION ~ ~ <br />Company ~Qc.n ill At' L'J(? . <br />State Cert. or ~ist. # ~c1;rfi ~ <br />City License Registration # IV <br />****************************************** <br /> <br />.,/'. <br /> <br />::::::::~ Company CtJr~ 6/~dn~ / <br />: -- . .~~.m~:~m;~::;:d~~~~~;~ llll-< <br />Company ~af ~h 'm <br />State Cert. or gist. 1ft . (~O 2.-79 Y <br />City License Registration ~ I <br />****************************************** <br /> <br />........ <br /> <br /> <br />..--- <br /> <br />Signature <br /> <br />( <br />,~SC' /.-. ~<.( r co> Company S ~ ~ It-- ~ -<7 <br />.tl- // ~,\, State Cert. or Regist. iF <br />/ - l-- ~} /11.'0; ~-/:)}/' City License Registration ~F <br />J~ ****************************************** <br /> <br />j~n'" DO I <jL/h / <br />'ff 2- ' -- <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPRDVED BY <br /> <br /> <br />PER~'nT OFFICER. <br />