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<br />APPLICATION FOR PERtlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ Mf\-l.'J CO/IJsJ.~W.~ION. -T~(> .., <br />ADDRESS ~ 3d-S S. f2. 54 \A) - Z ,"", \ \s PHONE" 9 L-- C)t:)2.6" <br />OWNER 'FA'I~ t4AU('V'(J BAP-\-"S.+ Chueet'l <br />JOB LOCATION 5401 ~ S4!). ~--\:,-Z,\JJ\:;LOT SIZE~X\9Y")AREA SQ.FT.~.5);l.OC) <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. jF <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 />L-commercial <br /> <br />____M/F <br /> <br />____4~ of Uni ts <br /> <br />.____M/ H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />! <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: 3 ~~ x?V, <br /> <br />~br2~.> <br /> <br />Square Feet, <br /> <br />Bl <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 />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />"J <br />____MECHANICAL <br /> <br />AMP Set'vice <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <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~ /1 " \ <br />BUILDER Company M~t0 \,.'0 }\)S11LLAc:l-~ 3 '/\..; <br />1........... .~ State Cert. or Regist. It e&-03S\<!.4-- <br />signature~ ',. 0.-- City License Registration iF <B<: <br />.***************************************** <br /> <br />ELECTRTCTAN Company '-{nA<<-~\;0 (;.\~Q-\.(t~<Z.-- <br />.-IJ (J. . 1/ 'J1... . . I State Cert. or Regis t. # E tfO() (( II () <br />Si!;mature ~ t:.::J-- I v~ J,. City License Registration # IsJl <br />*******~********************************* <br /> <br />PI,IIMBER e ,'g:: Company ~h 1'\\ \ e~ ~ cL ~\ '^-rY\ ~, N ~ <br />_ 1117 II State' Cert. or Regist. iF " " <br />Signature <1t~U /1(,1 City License Registration;~ /' <.-S <br />,**********************ft******************* <br /> <br />Signature <br /> <br />--~,,",, ,~ ;g <br />({c\..1)7" <br /> <br />Company 'tS~\ i,~ ~lZ.OpANC.' G~s.~~~4C- T to <br />~ ' State Cert. or Regist. iF ~AC!.. -~3c\1V5 - <br />~ City License Registration if 7fr <br />*** ************************************* <br /> <br />MECHANICAL- <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br /> <br />Signature <br /> <br />,. .' <br /> <br />~~***********~j*************************** <br />~' /f~AA -(:J - 2!:J-PAA~~ <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />.' <br />