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<br />APPLICANT <br /> <br />b.L~ <br />~'77 Lf b <br /> <br />SIEV~ <br />GLAI'F-<) <br /> <br />0:J~nZAJC-1t ~ <br />Lr0 _ 7 - <br /> <br />'?!< ((f~J~ ;),94 <br />I f?Y' /] ... J I <br />I DD c/- <br />I <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER CIU IV E.. T i-I <br /> <br /> <br /> <br />ADDRESS <br /> <br />JOB LOCATION ZEf't-Pyd?J-HLLS PP5C0 GQ.LOT SIZEqD AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) /3/ BLOCK SUBDIVISION~ L \J r:5tL ~L .<; <br />PARCEL I.D.~~ ~ f-c2.6 - 02-1..... If/;Lt; .... ~ t:J c:J c!J CJ -0/3/ <br /> <br />" <br /> <br />WORK PROPOSED:~New Construction -Addition -Alteration -Repair _Install <br /> _Sign/Temp. _Sign _Move -Demolish <br />PROPOSED USE: ~Single Family ---11/ F _~~ of Units ---1'I/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />----Restaurant & Health Department Approval <br /> <br />BlfILDING SIZE: <br /> <br />x <br /> <br />3i.(8Lf <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-X-BUILDING <br />+-ELECTRICAL <br />~ECHANICAL <br />,k-PLUMBING <br /> <br />$ 1Z0 000 ~ cc <br /> <br />7.00 AMP Service <br />$ -gHCO.. 0(. <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 />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br />FINISHED FLOOR ELEVATIONS: er() FT. <br /> <br />Other <br /> <br />Signature <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company C ( < <; 1"'F\) F <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />C G ~.i'f2.vC..77 c~ <br />/y/ <br /> <br />F.T.ECTRTCT AN <br />SiQnatur~~ <br /> <br />Company . 'Z.-~J..\~, ~L~'\. 5.,sI\.\J. <br />~<C[J State Cert. or Regist. # <>u","-' l.S> <br />City License Registration # in <br />**************************************** <br /> <br />Signature <br /> <br />Company a <br />~~.-2 M State Cert. or Regist. # <br />C . City License Registration <br />*********************~******************** <br /> <br /> <br />PLUMBER <br /> <br />MECHANICAL <br />Signature ..% :~ .4 ~ <br />, <br /> <br />Company gAHJ( ~ /,~~,If.v t.. ~~.s l ,,~ <br />State Cert. or Regisrt. ~~ CAl~c"..7" V8 <br />City License Registration ~~ ?,f' <br />****************************************** <br /> <br />j;v~ <br /> <br />OTHER Company 64ikO R-tnrF (D <5 <br />~ ~2. State Cert. or Regist. # <br />Signature----:-_1 -Q1 ~ /~'-- City License Registration ft <br /> <br />*************~*****.********************* <br />APPLICATION T)ROVED BY Il t1'At .t'~ ~~ . <br /> <br />...3?) <br /> <br />PERMIT OFFICER. <br />