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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~/~t? Aj//h/'J J2flc <br />/ <br />?tJ7 Ji/?~U' ;(/te, dJ-Je.s e:./y/~.3.3gY9PHONJQt-!J <br /> <br />OWNER -? <br />'J''-C() A--I // / . <br />JOB LOCATION /S-Z- /V<lfl.Rv:>&)woJ 1.-4v~ LOT SIZE S-JX //01' AREA SQ.FT.~QOd~ <br /> <br />LEGAL DESCRIPTION: LOT(S) /c'r BLOCK SUBDIVISION ~~~?U()t:d. Jut! <br />\ <br />PARCEL I.D.4~ 13--26 ~..JJ - 0/ '/0" OCJooo-jiPSO <br /> <br />9'22' - S2f/O <br /> <br />ADDRESS <br /> <br />WORK PROPOSED:~ew Construction _Addition -,,--Alteration _Repair _Install <br /> <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ~gle Family _M/F _4~ of Uni ts ' __M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />. 1/2/ X Lj/~/(.~ /.3~~ g/ ;. <br />BUILDING SIZE: Square Feet, Height <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 />$ 3/;: 2 00, Od <br /> <br />Valuation of Total Construction <br /> <br />I <br />_MECHANICAL <br /> <br />ZOO AMP Service <br />/, YfV. at) <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Frame _Steel <br /> <br />,Other <br /> <br />f <br />O' <br />vi <br /> <br />_PLUMBING <br /> <br />GAS <br />~Ck <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />***************************** <br /> <br />SECTI~ . d . / ,,;? <br />Company </~~ 6C{/~/'..f' ",;z;f ('. <br />State Cert. or Regist. i~ c.,dCt>~t?'??S <br />City License Registration # J7"L.. <br />****************** ************** <br /> <br />::~ Company f ~ <br />~ State Cert. or Re ist: # <br />. ..., City License Registration # <br />-.... .................................... <br /> <br />PLUMBER 4 ( C ~hl<~ '" <br /> <br /> <br /> <br />C2e~ <br /> <br />A <br /> <br />Company It. c- . f> I vw. ~ 'T <br />State Cert. or Regist. # <br />City License Regis tration 4~ "./ 7 <br />****************************************** <br /> <br />Signature <br /> <br />.., <br /> <br />MECHANICAL <br />Signature 1./clL itlnJi. <br /> <br />Company I3cl'J~1J CtJd{,',./y t f= ftdr <br />State Cert. or Regist. 4,tf? 9 <br />h City License Registration ~F lot, <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />* *~. * * *** ** ****'1< **.21-*** **** * ** ** t: * t:** * * * * * <br /> <br />21 <br />~ -L/lAIkr <br /> <br />PEF.MIT OFFICER. <br />