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<br />"._<-....----_._------~- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~rI)~.s .).. bErPJR2DJNF <br />? ~ /} ;J /VtJ,R '/ij ~Jf/' .DA <br />J;/7P7 L <br /> <br />nc iE-I/D <br />PHONE ,)7S'd } '7' h f? <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION ~ J 2. VEtf7 <br /> <br />t7/7X'.S' <br />-? <br /> <br />BLOCK <br /> <br />I I <br />LOT SIZE~~ AREA SQ. FT. <br /> <br />SUBDIVISION ,.5;) l'VEJ9 O/) J...f'....5 <br /> <br />OOJO/J - OCJ30 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. # ()3 - ~ t. --.:;?) OO{'JO - <br />WORK PROPOSED:~New Construction _Addition <br /> <br />_Alterntion _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_I~ of Units <br />-4-swim. Pool <br /> <br />,_M / If <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fec l , <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. H <br />*~COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />iBUILDING <br />-IL-ELECTRICAL <br />_MECHANICAL <br />....i-PLUMBING <br /> <br />$ /"/ I () () f) tJ /) Valuation of Total Construction <br />r , <br /> <br />AMP Service ~Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />********************~********************* <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION 1 OJ') /l .., /" /t . <br />Company 198:/'.5 '-L.J...!L ~ ~u... <br />State Cert. or r~c:,'.ist. !I EjtPrJ/?Y7f?9 '7 <br />City License J{('[',i~otl-;ltinn 1/ /~ <br />. <br />***************************************** <br /> <br />:::::::::~ Compony C -\-\'LL~ ~L"C'. <br />~~ State Cert. or gegisL. II ~=::z.....l~S:>- <br /> <br />....."- -- .. ~*..=......*~~;~*;:;;;~~;,~:~,;:;;~;::~ /I I (J <br /> <br /> <br />PLUMBER ___ Company ij,$ '/:.s ~ /'J 1- <br />f7 d- ~ ij 7 State Cert. or g('(31st. J! tfj o-'?t?/J <br />Signature I~J.I,,/.Ir? V d~; City License Eegistration It <br />~~****************~*********************** <br /> <br />CLJ~ <br />!ll'15Y 7 <br />)~ <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration It <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />-- Company R Eft? l/)/c./tJ./)/ <br />/) d V/;- State Cert. or ]{egist. IF <br />L4tg.(lz,t.t.r; J /~~~ City License Rcr,istrntion I~ <br /> <br />~***~************************************* <br /> <br />/) 2-// /? ) /j/2J'f? <br />9~ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERI-lIT OFn CER. <br />