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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~O~N~\ E.~ ~~.\ Q.C4..."- '\\,l-S \)o.rt~E\Sl f <br />ADDRESS ~~3S Gt..\.\ ~\\)d-=\f';l. 2--~'1 \ \ ~ PHONi ~\~:J '1l?3 -'~~ <to <br />- <br /> <br />OWNER ~bW~\)\t~\ 'fv0~c\\ ~\... '\\r-TS 'QG..f-\~~r..<\'k'\ r <br /> <br />JOB LOCATION ~f"\8\'-\ -~ ~\CL..\. A(t.d~7t.OT SIZE <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~ \.\- ~S-" 1- 0000 - 00300 - 0 DO 0 <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:~New Construction ~ddition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _# of Units .~/H <br /> $commercial _Indust. _Swim. Pool Other <br /> <br />~estaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUlRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_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 SECTI~ ~ <br />Company r-\..u~ ~'eu. c.o. NQ. <br />State Cert. or Re 'st. # ('_~r (),rH~ <br />City License Registration # <br />****************************************** <br /> <br />Company 'mOAt;:; ZkL <br />~ 1J 1-1.. ~ L State Cert. or Regist. # FRoG 1//(0 <br />I()I... I -~ City License Registration ~~ SY' <br />*********"******************************* . <br /> <br />Company ~ a~ D J..\ f -\-\., ~Jt'"' \, ~w 'f'f ' <br />State Cert. or R ist. ~~ c.. 69 Y <br />City License Registration # <br />**************************** <br /> <br /> <br />F.T.F.CTRICTAN <br /> <br />SilZtlature <br /> <br />MECHANICAL Company ~tI4l1lf:.s &Y/1';VC 6A$-€. 1~ :;:c <br />~ J ~ / State Cert. or Regist. ~ CACoyJ 'j YR <br />Signature - ,.{ ~ -L-- City License Registration ~~ <br />- ****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />