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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. <br /> <br />APPLICANT KYMfrt0 Co (\J ~-\ ~ I,..,~ (*-10",) -~") (2" <br /> <br />ADDRESS 3"'152 S :::; I Q 54 \N ('s-t - L- \), \ \.s PHONE 7 e 2.. 0 B;Z 5 <br /> <br />OWNER~i ~ b, "-Rt M-f\~ (K'{NtF\I') Co ~~\ :') <br />l \ - Ap'P . <br />JOB LOCATION-D ~ s l \JJ(,~(..'-':O()b 'DIL 2.. ~. l.:) LOT SIZE~X \ 'l'7 AREA SQ. FT .- "\ ~4D- <br /> <br />LEGAL DESCRIPTION: LOT(Sr.:u BLOCK SUBDIVISION "'. <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED~New Construction ----Addition ----Alteration ~epair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />~/F <br /> <br />____4~ of Units <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 />( I " <br />BUILDING SIZE: 3D x545. <br /> <br />\5~ <br /> <br />Square Feet. <br /> <br />..-.... I <br />.......- <br />( ~) <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 />1BUILDING <br /> <br />$ <br /> <br />1523 <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 />'K'f "'" f'l-~ CD tQS~ - I~q.,***************************************** <br />i.....- 'D CONTRACTOR SECftON <br />BUTLDERl\e0\,u~'fV\A,.\) Company' Y1'-'lt\t.J e<:>~S+ <br />__'~ StateCert. or Regist. #C~C-03b(2,.+ <br />Signature . City License Registration # ~f?~ <br />****************************************** <br /> <br />ELECTRTCTAN <br />Si&mature r:JJ1o-( Ii-- <br /> <br />Company -.M.~- Gectn~ <br />J State Cert. or Regist. # ERGO/III 0 <br />~w-JI\I',_, J1. City License Registration 4t Isg <br />*~*************************************** <br /> <br />Signature <br /> <br /> <br />Company ('Jtall01~/~ <br />State Cert. or Reg:J.st. # <br />City License Registration # / S- <br />****************************** <br /> <br />/ <br /> <br />Signature <br /> <br />Company <br />~ ' d./ State Cert. or Regist. # <br />, // I.;.) t------ City License Registration <br />. J' ****************************************** <br /> <br /> <br />MECHANICAL <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 />**~******~************************** <br /> <br />'P~.c'd "/i4vir , <br /> <br />PERMIT OFFICER. <br /> <br />'.""'.\bi"-~~"M'"'''''' cP-".:'t"'i, -.,. o(.~~".;:k-",.,.,,~....~ <br />