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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'\ <br /> <br />/ ~/1'7 <br />1'\ZY \f}J ~ <br /> <br />APPLICANT ~,l. STffNE ~TICUL~prJ' <br /> <br />, , <br /> <br />ADDRESS ~77 ':ik. ~~-:s ltJ;-_0-.p~~.K.h1t L..-~S PHONE , I g do. -C)cjl/er <br />OWNER ~nMt=S. '? ~~DC- mCD-0D--' <br />~b<<.. ~o,t1l\ L4~'- f)(L <br />JOB LOCATION Lot ~. STEAJa)'S &t..-e LOT SIZE X AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT(S&) BLOCK SUBDIVISION .sfL\J~ ~.s <br />PARCEL I.D.# 03-~-dLJ- (X'(X)- 001 CO- DodD <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br /> ____Sign/Temp. ____Sign ____Move ____Demolish <br />PROPOSED USE: ~Single Family ____M/F ____t~ of Uni ts ,~/H <br /> ____Commercial ____Indust, Vs ' Pool Other <br /> ____ Wlm. <br /> <br />____Restaurant & Health Department Approval <br />BlJ,ILDING SIZE:'7?,.'h" x931b~ '32-qq Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~ILDING <br />t/' ELECTRI CAL <br />r/ MECHANI CAL <br />v" PLUMBING <br /> <br />'15': 060~. c)c} <br /> <br />, <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />I~~orida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~ame <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br />FINISHED FLOOR ELEVATIONS: ~/l FT, <br /> <br />____Steel <br /> <br />Other <br /> <br />****************************************** <br /> <br />CONTRACTOR SEC~ON <br />BUILDER &412..:'1 l. ..s7E\le- Company. L. S1T2f12 ODt0STeOCTIOU <br />~c4~1} State Cert. or Regist. # Q.8-~.;Qt3'1 <br />Signatur i..LitJ City License Registration # l~ I <br />*******~******************************* <br /> <br />ELECTRICIAN ~l~ '"":DU~Fr~ Company . 'Z.-\.-l\u...~ ~L~~. ~€n..,-" <br />~ ~~~ State Cert. or Regist. 4~ uoc.:.'J...t~~ <br />Silmatu~~ ~ J City License Registration # l n <br />**************************************** <br /> <br />PLUMBER C.~~ToP~~ s. ~L Company (J ,'5 <br />~ .2 M State Cert. or Regist, II <br />Signature C . City License Registration # <br />*********************~******************** <br /> <br /> <br />MECHANICAl. K.&vl~I2>~,-jL Company gAH~ ~ r'~~"If.v L b~.5 e//R j-AJt:.. <br />'J/ .L. ~ ./ State Cert. or Regis't. 4~ C.llCc(I'.7"P V8 <br />Signature h : P .........'-.... City License Registration 4~ <br />~ ****************************************** <br /> <br />OTHER (2~Q.~ bMIU <br /> <br />Signature <br /> <br />Company 64\/".) ~r--ltVG <br />StatE Cert. or Regist. # <br />City License Registration # ~ <br /> <br />****************************************** <br /> <br />APPLICATION ,'QOVED BY <br /> <br />PERMIT OFFICER. <br />