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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />-If 6.s~ -p K. ~ 'r-' <br />~-:2.0-7~ <br /> <br />APPLICANT ~(\W'N \.)\~u:J '\\J~c\\~o..l \\('~ ~cA.N~fSL'lr <br />ADDRESS j C"\ <6$ g) \V\J~'\ ~~\. ~f' tS tc~r1 2'C..phr'. {:ie-PHONE qO~ -5(01-'1 qq'l <br />OWNER ~()~\'0 \}\l:.4) ~t\v\.h.J..\ ~c...l \\r\s ~a.nNE.(sLI f <br />JOB LOCATION %~\~\.. 'A'('-\:;S Qcur\ 2ce:pkr.Flu)T SIZE_X AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br />WORK PROPOSED: ~New Construction <br /> <br />s'ss <br /> <br />o..:~kQ.;~r l <br /> <br />~ddition <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />~mmercial <br /> <br />_M/F <br /> <br />_4F of Units <br /> <br />._M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 3f1 X 5 (j , <br /> <br />\~50 <br /> <br />Square Feet, <br /> <br />~ 0 {.{- <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 />PERMITS REOUESTED <br /> <br />V BUILDING <br />VELECTRICAL <br />V'MECHANICAL <br />~LUMBING <br /> <br />$ <br /> <br />3Q19,.,D.Oo <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />~ <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />3 I ro. () () Valuation of Mechanical Installation <br />Y\J () GAS r\J c) ROOFING f\) U SPECIALTY <br />TYPE OF CONSTRUCTION: ~OCk _Frame _Steel <br /> <br />$ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION S r.'\' ,.\... <br />Company o...\0dt::j ~IV\.~..J\.. <br />State Cert. or Regis iF oq ~3 <br />,"-- City License Registration IF ~~ <br />****************************************** <br /> <br />Signatu <br /> <br />:~:::::::~~ <br /> <br />s::.::1 Company \'i\hA\,\l t:. ~ 'e.<!.:\. f '\ Q... <br />State Cert. or Regist. IF E..?acl\l\O <br />. City License Registration;F \5~ <br />***** *********************************** <br /> <br /> <br />~. <br /> <br />Company ~a..~o ~~" OluM.~~ <br />State Cert. or egist. IF Cot: ~4''fo <br />City License Registration # q I <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL ~O'tJW~.s.. SE(U~c..f CELt.nV Company ~6~N~ \ <br />l1~ .'. (~ State Cert. or Regiscl. 4.' <br />Signature /"::J ' / /J 1c'/j ~ (~.J City License Registration <br />****************************************** <br /> <br />Company l\)() v0 cc. <br />State Cert. or Regist. # <br />City License Registration IF <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />