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<br />ADDRESS <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. . <br /> <br />\ <br /> <br />APPLICANT <br /> <br />(f) ;). - . <br /> <br />. B?3J-7 <br />-\?ey nIM s <br />I G,-1t 5+-- <br />~ <br />-J. <br /> <br />JOB LOCATION <br /> <br />frf)fs-1 <br />~ () .0 '), <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D .1F <br /> <br /> <br /> <br />30 <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Repair ____Install <br /> <br />_~gn/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____IF of Uni ts <br /> <br />.____M I H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Othel' <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SIZE: ft~,s,Ct-eeV) ~M. IO'f./d-square Feet, <br /> <br />, <br />l'do4) <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM..I1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~I1S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~I1S. ,~* <br />**COPY OF CONT~~CT REQUIRED. <br /> <br />vfuILDING <br />~CTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />~i9.50J>' <br /> <br />Valuation of Total Construction <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 />____PLlTMBI~G <br /> <br />_t#-- . <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUJ LDER 'fA ~ ~'rJ./UUt" AJ U IV] <br /> <br />Signature ~'av~?3~a0\ <br /> <br />CONTRACTOR <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br /> <br /> <br />Company -:{ ~1 () l!.../L-o.-1 <br />State Cert. or Regist. lF EI2' 00 I / -~/ 7 <br />City License Registration # /59 <br />****************************************** <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. 0 <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 />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />