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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT k€l)l~ ~~ MA-~ ~'} /vd\~ CON4QL"~~()r\J.J ~y NQ... <br />ADDRESS '3~TSd- ~ ::5 Q. S<\- We,s.-t -2.-"'~lL~ PHONE B\s -iBL, CB~5 <br />OWNER '~y M.t<\; ~ CD I'.SS-.-\ ~U\.c-l( 6 ~ <br />~~ W' cO <3 ?,/O-.S <br />JOB LOCATION . --l ~:; ..::. e ~(U::>OO~~Q. LOT SIZE_X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) .. \3 BLOCKDOOCVsUBDIVISION O//)..O <br />PARCEL I.D.4~ \ () ,- dCo ~ \ ~ O\~O. ~0()-7Q <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign - Move _Demolish <br />PROPOSED USE:~Single Family _M/F _fF of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: 30 x5'1.b? \Sg.3 Square Feet, o \.j::l A ~ \ 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 />LBUILDING <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 />_MECHANICAL <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: _Block ~ Frame _Steel <br /> <br />.Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SEC~ fJ_ _. f _ I. <br />BUILDER Company' mA-N LOI\)~t.A.C...-.H6u -:Sk), <br />~ State Cert. r Regist. iF UC:_-03SI ~4- <br />Signatu ' - ~ ~ City License Registration 4F? ~S- <br />. **************************************** <br /> <br />ELECTRICIAN <br /> <br /> <br />Company tv\ r\.<<.. +1 A) E \ e.e:-h~~' C- <br />State Cert. or Regist. 4F 5rL-OOi{{tO <br />Ci ty License Regis tra tion iF \6 P..-:> <br />******************************* <br /> <br />Company Ch~~~~~c" <br />State Cert. or Regist. 4t ~F' OSc9-o0 ~ <br />Signature \/ City License Registration i~ <br />****************************************** <br /> <br />MECHANICAL ~~ ~ Company Ba,n('~ Prbp4.n~ ~a.b J; A/c, :rncl <br />1\11 I AA AI/ILA gAL' State Cert. or Reg1st. 4t CAtOL/-3'4t.f8 <br />Signature <:1l/UJYU{,. rJlJ.~1IV City License Registration IF 7rfY <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration 4F <br /> <br />OTHE;R <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />