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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT \ OLU N\J \ <t.\.U ~~ c>. \ ~"'-\.. 'A, '-So ? Cor \- ~E (-S ~.\ f <br />ADDRESS ~~~S Gv-\.~ ~\~J~ ~ 2~'l \\) PHONEC~\~) 'l~J- g4c;6 <br />OWNER "cw 't0~ \ 't.,-,- ') 'N\ ~c\' \ ~CA.. \ '\\1' \ ~ ~ G f =t \\.Yt'f ~ kLp <br />JOB LOCATION 3 'la) ~ - 31EO:2. V\tved.'\ C' c.. \ Anof Ct-; LOT SIZE X AREA SQ. FT . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4F <br /> <br />31-~S-~1 - 0 tJo{) -otx3 M -Ooeo <br /> <br />WORK PROPOSED:~New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____S ign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />f-commercial <br />....,.--Restaurant <br /> <br />~/F <br /> <br />____~~ of Uni ts <br /> <br />.~/H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />& Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />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 REQUlRED. <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 />~ECHANICAL <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 />Signatu <br /> <br /> <br />SECTION ~ ~ ('\ \.L.. <br />Company a. ~ \,j , '- c. r ~Q. . <br />State Cert. or Regi ,4F ~\\c:.C\ oct ~ ~ <br />'ty License Registration 4F <br />****************************************** <br /> <br />ELECTRICIAN Company <br />State Cert. or Regist. # <br />Sismature City License Registration 4; <br />~ ~ #' . ~~............................ . <br /> <br />PLWftla< ~ Company ~l~t:''''h.\. QI",,,, \.I>..l~ <br />State Cert. or gist. # ~rC-()~ , y <br />Signature City License Registration # <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. 4; <br />City License Registration 4~ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~******~***************************** <br />dAU'1 . . t1~ <br /> <br />PERMIT OFFICER. <br />