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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT .~ 'f l~'\ t\~v~ eo ~~,t.Ru,(-..:\ i,c, ~ ':S=,,~~, <br />ADDRESS 3"1 ~J. S "'S ;\<' ~.::':I~ Y\\ e-;:, t - 2- "': \ \ ~ <br />(j 1'3 f3 S ~ J1 c Jl LV AN A tJ I-f <br /> <br />JOB LOCATION SJ 13 t'o/A J/ <br /> <br />PHONE <br /> <br />'Bl s-. 782.- 0<5 2~S-- <br /> <br />OWNER <br /> <br />2-!/; uS '-7i- LOT SIZE_X <br />, <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. 4F <br /> <br />/ (_ ,),L, - CJ-I - (){) / D - ;,:) 300 - or:) r;s- <br /> <br />~epair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <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 />_iF of Uni ts <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: <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />.... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />y f1 t. CONTRACTOR SECT~ON <br />BUILDER "'j t(l..AI\..) \. 0 NS\. ~ (\J C ' Company - --y r---"\.A. N C (--.>, f': s,l . _I.. N_ <::... <br />~ ~ State Cert. or Regist. IF C g.(, -0 -S~ ~~~ <br />Signat'l1~UY"\ "~LA.-A'" City License Registration # <br />( ***************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br />-, '''::.?! ~ * * * * ** **,* ~~ '*.* * * * *~ * * * *** * * * * * * * * * <br />BY . . /71/ A~:1 .x.!J.v 1A) .'1/ .. <br /> <br />PERMIT OFFICER. <br />