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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />rO (;';. <br />-r R.f 4f )tf{)' ~3 <br />if -/~, { <br /> <br />APPLICANT <br /> <br />c~( ~, <br />\'3 7'7C? (.. L"~ 4 DE- <; <br />iHE ALLIA.A_(~ <br /> <br />S'Tl=-L <br /> <br />r <br /> <br />(I (' )1 ,S Tf< l L C I~ I c:\;() <br />JR;zt A IJ PHONE 7 r{''). - q YV'} <br />c Hltl!..CH <br /> <br />ADDRESS <br /> <br />OWNER <br />JOB LOCATION n- /ri /1 6 /.(t.. i ~{ If'k Y .} L.~ ( <br />. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT . IS), (....5.C.4 <br />, II :). 'IAdb) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.~~ C':-j~, /:.. f.::. - J. / <br />WORK PROPOSED:~ew Construction <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />c" C / (i ,-- C c;:;; (' ("- {' (,'(~ t' <br /> <br />____Addition ----Alteration ____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~ommercial <br /> <br />____M/F <br /> <br />____4~ of Units <br /> <br />,____M/ H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaur~~t & Health Department Approval <br />tf1~,'~ --I <br />B'QILDING SIZE: '-/'2. X '--7-) , 7'7 ,'3c/if//i([.{ Square Feet, <br /> <br />'" <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 />V BUILDING <br /> <br />~ELECTRICAL <br /> <br />-L--MECHANICAL <br />/ <br />V PLUMBING <br /> <br />$ II.~(~,.CZ:'(' <br />, <br /> <br />II (Ie. AMP Service <br />/r" <br />$ '7 /?f' {~CCj <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />)< <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />~lock <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame <br /> <br />____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: kc . ') FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br />Company G ,L., S7ei ~ e:.o p s. -rev c:r ( 00 <br />State Cert. or Regist. # <br />City License Registration # /!?l <br />****************************************** <br /> <br />Company 'Z.-\..l\u....~ ~L~~. ~an..'-" <br />~~ State Cert. or Regist. ~~ ~O~'A.<<' ~~ <br />City License Registration ~t lO <br />- - **************************************** <br /> <br />Signature <br /> <br />Company at'S <br />~~ .2 M State Cert. or Regist. # <br />C . City License Registration it <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />MECHANICAL <br />Signature ..% :.L .,6' -<- <br />, <br /> <br />Company gAII~ -:s r'.&:>~A.v t.. 6'~.5 e .;t/k <br />State Cert. or Regis't. # (""tee",..?., V8 <br />City License Registration i~ 7? <br />****************************************** <br /> <br />,j- AJC: <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />Stat~ Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />