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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br /> <br /> <br />APPLICANT dd ~ ~I'Z:AR& ;(~,L-.4- Jl/JJ <br />ADDRESS 3a~J5'? ~ CE/'~/lI??S I'U-.;~ 'f3 PHONE 7f3-,/oE 7 <br />OWNER '1 - - A. <br />/ <br />JOB LOCATION 3RtJ/e:z-. .Lllwd4/tJ/J ~~ lie:</;, LOT SIZE ,53 X 9s;/9AREA SQ.FT.50JS- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.# Itf-cJ.6-~1 ~ 0/60 <br /> <br />BLOCK <br /> <br />SUBDIVISION wrlYw/l10 W/I'IO <br /> <br />t?t? ~O& <br /> <br />0,;2.60 <br /> <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 />:. <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: -4-x 3~ f,1J.X,.5?) <br /> <br />Square Feet~~~ <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.*~' <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />~ELECTRICAL <br />. ,,11 <br />>Z. MECHANICAL <br /> <br />..LPLlTMBING <br /> <br />$ 3~~- dV <br /> <br />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 ____Frame ____Steel <br /> <br />/0/$ <br />( <br /> <br />Other <br /> <br />FINISHED FLOO~T}1NS: FT. <br /> <br />vitA/!. )/ ;frf,.P:$, *..*****....*.**.........*..*~.;;f.~$ /l111 ~aIlV <br />1- {l ~ CONTRACTOR '- kt_ -.:, ']J.r <br />BUTLDF.R ~ Company 'J..o. 1,\PiM..'<.MJ.' e- <br />State Cert. or Regist. # 0 0 <br />Signature - -~.. --,. - - - -... Ci'y License Regi~tration " <br />~,** ** ** * ** ** * ***** * ** * ** *** * * * *** ,',~, ,,: of,~, ,', of, * * <br /> <br /> <br />::::~::N Company _~t\~6N ~'Y~ <br />. State Cert. or Regis t. # otfq r <br /> <br />. e-- -~. ~;..~*~~;~*;~~:~~:*~~;~~;~:;~~~ " ,I (. I <br /> <br /> <br />PLUMBER Company 'EJU\J\~M~L Oe~\. <br />m.~ ~ Sta'e Cert. or Regist.;;-- C!...o :::"110 <br />Signature .. City License Registration;fr . 9h <br />, **~~t****** **********~***********~******* <br /> <br />MECHANICAL .', ., " ., ." . Company ErO , <br /> <br />cro " . /, <br />-=: '~ State Cert. or Regist. t' . <br />Signature ~Q~' . . City License Registration 'F <br />********** ****************************** <br /> <br /> <br />Company <br />State Cert. or Regist. 4fr <br />City License Registration # <br /> <br />BY~~~~~"**' <br /> <br />OTHER <br /> <br />, ) <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />PERMIT OFFICER. <br />