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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ DlU\'.J \J"' <t.W '(\\J~\ ~c..t f\r-\s <br />ADDRESS ~3,jS Gu.\l ~\\jd ~ ~ 2h~ l~ <br />OWNER "0'-0 l\)\! \ t.. ~J 'fN Ed " C' 0.\ V\~ ts <br />JOB LOCATION 2:>t'\ ~\,- ~ Yj 'i?o~ <br /> <br />PG.r~t\JEfS~'1 f <br />PHONE (~\j ) 1 K'3 -~~ 'f () <br />'Poet N~fS hLf <br />~ed\~c....\... 'f\(\~ ~\-. LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.~F 2\1- ~$ - ~ \ --C;;6oo -CCJ60-C6od <br /> <br />WORK PROPOSED:~New Construction ~ddition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _41 of Units .~/H <br /> +commercial _Indust. _Swim. Pool Other <br /> <br />~estaurant & 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 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 />_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 /> <br />CONT~~~:n~ECTION ~G.~d~ ~~u. cPo ~w<L <br />State Cert. or Regist. # ~~lJ\oct~.3 <br />t ity License Registration # <br />****************************************** <br /> <br />Signatu <br /> <br />ET,F,CTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si&.mature <br /> <br />Signature <br /> <br /> <br />Company ~;:t~<t:\-t- ~ ~u.~~; kJF; / <br />State Cert. 0 egist. # F 6<1 1Y <br />City License Registration # <br />* ******************************* <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 41 <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 />***********~~;'*************************** <br />APPLICATION APPROVED BY '1f"""""A~ _"VJ ~r <br /> <br />PERMIT OFFICER. <br />