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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/07 <br />k:t4e <br /> <br />JOB LOCATION S-...70 ?' <br /> <br />J(/4e Lfu,.d-r.:f <br /> <br />f <br /> <br />#VC <br /> <br />~c <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />~/leJ <br /> <br />~rluJ <br />r <br />.01-<-/~ ~c <br />.. <br /> <br />C?, <br /> <br />PHONE <br /> <br />7/72. -?z V?J <br /> <br />OWNER <br /> <br />~/./{q. <br />/' <br /> <br />S~e--/ <br /> <br />PARCEL I.D.# <br /> <br />?9 <br />/' <br />i 1- .2'- ~ :J-J <br /> <br />BLOCK <br /> <br />LOT SIZE Jo X /I"J?) AREA SQ. FT . ftc:9 0 <br />SUBDIVISION ?-/';'ct:),~ /~r}/zr <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />() 'J- 'fo <br /> <br />- ObDOO - O"3CjD <br /> <br />WORK PROPOSED:~onstruction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ~gle Family _M/F _4~ of Uni ts _M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />~estaurant & Health Department Approval <br />BUILDING SIZE: ? () ( X L(C/-r;/ /J"7'? Square Feet. <br /> <br />/ <br />g <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 />_MECHAN:fCAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~ock _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />/-/erbe~. jJ. ;f.e~1 <br />I <br /> <br />CONTRACTOR SECTI~? L ~ <br />Company /.~ ' qC' ~v ~ l , 'Zt c <br />I ,. <br /> <br />~' <br /> <br />Signature <br /> <br />City License Registration # C'/)t'OVJ"7....7j- <br />*****************************,~*********i:** ~ 3 Z 2-- <br /> <br />ELECTRICIAN /ViAe {!o/t/el <br /> <br />Company <br /> <br />(J O//!€t:./J ,r/c.::thvc <br />{ <br /> <br />fULl lU L-- <br /> <br />Si!mature <br /> <br />City License Registration # <br />****************************************** <br /> <br />2y~/ <br />. <br /> <br />PLUMBER <br /> <br />AI <br /> <br />(! 0-7"'"1 e/'-e< ^--- <br /> <br />Company <br /> <br />4c.-c <br /> <br />-P/ (...&Y7 tf//~ <br />/ <br /> <br />~ <br /> <br />Signature <br /> <br />City License Registration # <br />****************************************** <br /> <br />l~7 <br /> <br />MECHANICAL <br /> <br />Iv~./-r{..r Le ~4v <br /> <br />Company <br /> <br />;:: C.0/1 () /-/ea::bhe, <br />( <br /> <br />~. [c'r)j;:'1 <br />/o?- <br /> <br />L- <br /> <br />Signature <br /> <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration # <br /> <br />~***************************************** <br />, <br />