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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 11- J Q u ()..G.ty 4 L [..L,r\:. n(,.l W\ <br />ADDRESS 5a.S'o (;.C] I \. ~ l~ 0 l.e.fl'j C h: 1\ s <br />OWNER 8 \).."tch K u h a net. K <br />JOB LOCATION5YJif FXl:-eJ /;-J ((Tre-e. Lo.,...~ <br /> <br />FL "'33SCf I <br /> <br />PHONE <br /> <br />7 tJ.~s~'/ t <br /> <br />, <br /> <br />Y:.II~e.\J LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.4F I D - d.-<O - ~\- <br />V--/ . <br />WORK PROPOSED:_New Construct1on <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />)- JDf} <br /> <br />_Addition <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />v:- <br />_Install <br /> <br />_Sign/Temp. <br />v'" <br />PROPOSED USE: _Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />it> X "rl-'-\, <br />, <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 FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~LDING $ J:L 7,5.."0 <br />_ELECTRICAL AMP Service <br />_MECHANICAL $ <br />_PLUMBING GAS <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 /> <br />SECTION . . '~\ <br />Company 'f\ <L (0 u~ \...\ \1 ~ \.lk \ K'\\ 1 \t--\ <br />State Cert. or Regist. # A.Xc~,\c.,q('..9:..S <br />City License Registration # 8' <br />-***************************************** <br /> <br />Silffiature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY **jf;:;;;;~*:;W:~~;:'*"*"*""""" <br />twrOM::Ir :.. -.... ';;';", >'\~' <br />~,-=,:a~ .~. 'S;:it'. <br /> <br />.......""'"""~\,..,.,.."'. . <br /> <br />PERMIT OFFICER. <br />