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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT R i ,vI (-\ f0 C a I\J S ~, :s: N <:... <br />ADDRESS 5'1 S 2. s ~ . (< S'i lA) ('<;,..-{ , 2... h IUS <br />OWNER AN(\'~{\\~ -KE\\€tZ- <br />JOB LOCATION 3<:x. \ ~9 5 t~ Aue <br />0/50 <br />LEGAL DESCRIPTION: LOT(S) ~ ~ <br />PARCEL I.D.iF \ z. - 240 - ~ \ ,00 ~~O .- 00 \0 0 - 0 \S(') <br /> <br />PHONE -1 <t3 Z .- C> 6 2 ~' <br /> <br />LOT SIZE_X-- AREA SQ. FT. <br /> <br />BLOCK (X:)(co SUBDIVIS ION 8 f ~ 'c)c).3 () <br /> <br />WORK PROPOSED:_New Construction ~ddition _Alteration _Repair <br /> <br />_Ins tall <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />J <br /> <br />_Restaurant & Health Department Approval <br /> <br />ButLDING 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 FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />'-. ' <br />~BUILDING <br /> <br />X ELECTRICAL <br />0/1 <br />_MECHANICAL <br /> <br />Y PLUMBING <br /> <br />$ \1.1000 <br />~\.~) AMP Service <br />$ <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_h'.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />,XBIOCk <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Frame <br /> <br />_Steel <br /> <br />Other <br /> <br />****************************************** <br /> <br />':R ,CONTRACTOR SE~ON " <br />BUILDER' ljMAt0 CONSO-\Q..l......C\-i",.j Company YMAfI.J CO(V~-\~v...c~'_O~-~N~ <br />ib . '~ State Cert. or Regist. lF (Be - C>3~;:~l3'i <br />Signature . ~ ~ City License Registration # >>~5 <br />*********************************...**-*** <br /> <br />ELECTRTCT AN Company ~ tuc.mc <br />--t/ /; 2L "11/1 State Cert. or Regist. 1,: C!fOI(J/lII'O <br />Signature rz-.~0 /t'~ " City License Registration if I~'J' <br />*****~*********************************** <br /> <br />P~l~~"')""? :P\4mb.,u 5 ",company ~ '" '" ,e MCJ6"::' <br />~ State Cert. or Regist. 1,' <br />Signatur --, City License Registration 1fr \ z."S <br />**********************ft******************* <br /> <br />MECHANICAl Company <br />State Cert. or Regist. iF <br />Signature City License Registration ~F <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration IF <br /> <br />r <br /> <br />t.,_______ ' <br />..-"""....~..~.,. <br /> <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />'~ <br />, <br /> <br />1" <br /> <br />, <br />L <br /> <br />l <br />I <br />r~' i <br />: <br />