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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT \<e U I rJ ~ f"V"\ ~ ~l.f MI\t0 CD l\)S~",-c..~' c:>'...J <br />ADDRESS ~"\ ~:J. CO,S, ~. S'-\ W c:-s.-t - Z - \." ~ Ils PHONE 'So \ ~. {B Z - 08 L S <br />OWNER R""H_ \-\i\ ~ _}./~ - <br />~ ,\ b Y& ( \ . . <br />JOB LOCATION ~6-\ 3 <1 . 5. \v (" YL 0./1 ( So LOT sIzl1Z. X 119 AREA SQ. FT. \ lo J 4 <:'8 <br />LEGAL DESCRIPTION: LOT(S) 6q BLOCKf)(){)()I)sUBDIVISION 01 ;;;...0 <br />PARCEL I.D.# (Y3. ~ ~~. ~ \- Ol-:20' 00000 - Oe'1'O <br /> <br />WORK PROPOSED:~New Construction ____Addition ~Alteration <br /> <br />_Repair <br /> <br />____Ins tall <br /> <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ~ingle Family ____M/F ____# of Uni ts ' _____M/ H <br /> ____Commercial ____Indust. ____Swim. Pool Other <br /> ____Restaurant & Health Department Approval <br />BUILDING SIZE: (p Co{ X G,( , '33\ \ Square Feet, ~( Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />COMMERCIAL: 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 /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W.R.E.C. <br /> <br />I <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 />Signature~~ <br /> <br /> <br />CONTRACTOR SEy~ON <br />Company ~ I"U\ tV CO NSi-(Z.~-l-t 0 IV ..:r N. c:.... <br />State Cert. or Regist. iF ~c.-(Y3'6ta4 <br />c-- City License Registration # RS <br />***************************************** <br /> <br />Signature <br /> <br />Company vfY1tvu4G Wdvtc <br />State Cert. or Regis t. # E 'R.OtJ / / / J 0 <br />City License Registration # IS'? <br />********************************** <br /> <br />Company ct,,j~1/r P~JI^1 <br /> <br />State Cert. or Regi t. # <br />City License Registration 4F /.;;l. 5 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br /> <br />1', <br /> <br />Signature <br /> <br />COmpany l1;'JiI~.5 !JtC,pRNt. C~.s e..yc Jpc <br />~ << State Ce;t. or Regis{ II <-4GO'i391' <br />~- ~ City License Registration 1F 7&> <br />~ ****************************************** <br /> <br />MECHANICAL <br /> <br />OTHF,R <br /> <br />Signature <br /> <br />Company <br />Sta__ ~~rL, or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br /> <br />.t <br />........-.. <br /> <br />. "";~."'J'''''''''',~''' "J" <br />,-,'., . . <br /> <br />" .' !\' <br />'.. ~ . ..... 1 <br />1_ "'>I'.,~___.~~._." ' ". ..' <br />'~""#\"""'-. <br /> <br />r.. <br /> <br />""4~"""~Ii.\iii,"',i~""'~T~... . <br /> <br />.. ;.~ f <br />....p <br />,..., <br /> <br />.' .,..,...,....~._."'~.~............._-~... <br />