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<br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT G/~a/ ;(e~ ~~ l~ <br />/ <br />ADDRESS 3crlLfO /~ s-y ~ <br />OWNER ~c5 // #~ A'r- <br />JOB LOt:TION 3~/?J,L ~~ ij LOT SIZES! xlO-V AREA SQ.FT.S7~ <br />LEGAL DESCRIPTION: LOT(S) OorO BLOCKCO~SUBDIVISION t-v/f.V2.(./.A-~O M/f/L:/ <br />PARCEL I.D.# /'f-;2...6 ~~/-O/bO -0&000 ~. Oo?-D <br /> <br />PHONE <br /> <br />7rS--6'Oc?7 <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign ____Move _Demolish <br />PROPOSED USE: ~Single Family _M/F _# of Units ,..A..M / H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />:. <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />~x .3''- .i /d-.XS?J <br /> <br />Square Feet. <br /> <br />/ ~df' <br />f <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 />~BUILDING <br />-hELECTRICAL <br />V l'oi1 <br />-L:::::::.-MECHANICAL <br />kPLUMBING <br /> <br />$ ;< 51 t9tnJ. cJ1) <br />./ <br /> <br />I ::>-V AMP Service <br /> <br />Valuation of Total Construction <br /> <br />':><-.Florida Power Corp. <br /> <br />_H.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: _Block <br /> <br />~rame _Steel <br /> <br />Other <br /> <br />FINISHED FL~VA3rONS: FT. <br />~ I.f /.1~ ~ ****************************************** <br />(;)~~'j _ CONTRACTOR <br />BUILDER ~-Q. <\ \ o::tJ Company <br />State Cert. <br />Signature . -- City License Registration <br />****************************************** <br /> <br /> <br />I ..P C- <br /> <br />::::::~ Company <br />State Cert. or Regist. :,t It (!. OD<:::>C>rt-9 / <br /> <br />_: 0 _n. .;;.... .. .....~;~~.;;~:~~:.~:;;:~~~~;~~ " / ~ / <br />~IJ <br /> <br />-- <br /> <br />Signature <br /> <br /> <br />Ipany <br />State Cert. or Regist. '.! OJ:U~ ~1171 <br />City License Registration :fr 9'h <br />****************************** <br /> <br />./' <br /> <br />MECHAN~ Company " <br />~ State Cert. or Regist. iF <br />Signatur . . City License Registration <br />-- ----- ....~....................**.**...*. <br /> <br /> <br />v""" <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 />* **1*,'[ *.* * * **** * * **. 7** ** *** ** * ** >~* * * * ** * * * * <br />- " " .,,-. <>,..- <br />/' LljJ;\.,.~A (~ ~'\...1.J <br />I <br />(J <br /> <br />PERMIT OFFICER. <br />