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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />(, 0\0 C-\ fE. ) I \0 C <br /> <br />ADDRESS <br />OWNER ~O'tUQ..\ ,~..) T \-\JQ.... <br />JOB LOCATION \'v0E{c...~.Ll-\: ~ <br />\. <br /> <br />PHONE <br /> <br />( '1o~) Slo 'L:J Cf'l:L <br /> <br />U'tJ \ 1::-~36D LOT S IZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.# ~~- ~ 5 ~ ~\ - (Y)O(i - 0(:)30 0 -oo~ c) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~commercial <br />____Restaurant & Health Department Approval <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />_____M I H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />BUILDING 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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br />Y-ELECTRICAL <br />~MECHANICAL <br />"'::&-PLUMBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />CONT~~~~:n~ECTION 8o.\UJ~ ~U~ \o()~J1 ~. I~~ <br />State Cert. or Regis IF C.:2>~d\Oq~3 ./ <br />Signatu City License Registration # I fr <br />****************************************** <br /> <br /> <br />:::::~:;f:~7;..~m:;~;:;~}:~ffi;~;~~~~~3 <br /> <br /> <br />Company ~o ~ a ~ ~-\:. P\ \..1. 'k1 b; w~ <br />State Cert. or Regist. # C..,c~ Y 78 <br />Signatur City License Registration # 91 <br />****************************************** <br /> <br /> <br /> <br /> <br />MECHANICAL ' Company ~o \\h)~ S; <br />~ ~ State Cert. or Regi- . il~('I!J4;J.7'tK '1~/Jb <br />Signatu e ' , City License Registration # ;;L , <br />~ ***************************************** <br /> <br />Company <br />S~ate Cert. or Regist. IF <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />**********~*************************** <br />21d~~ dAAL.r <br /> <br />, '-, ",' . :. " <br /> <br />PERMIT OFFICER. <br /> <br />" <br />