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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />R~e ~<</Y~.r~(. <br />'/07 ~-?e.r ~ ~;'e.s 07f; ~ <br /> <br />PHONE (' ?D) C/22 -cf.2 Y"' 0 <br /> <br />ADDRESS <br /> <br />OWNER S 0r.Y?<"'" <br />.s-~..30 <br />JOB LOCATION S-S-r-Z <br /> <br />c;. j- <br /> <br />e7~d vC'" <br /> <br />/6 tI:i,..5. /- /'c-e.-/ <br /> <br />( <br />LOT SIZE~X /0' AREA SQ. FT . ?YcJO <br /> <br />LEGAL DESCRIPTION: LOT (S) / / r;L/2 BLOCK :?3 <br />1/-,;26.-,'), -tJoOI 0- O~ 00-0 II 0 <br /> <br />SUBDIVISION C#c/ C.:ld 2e.tJ~f.;/'~m- <br />I ' <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED: ~ Construction ----Addition ~lteration ____Repair ____Install <br /> <br /> ____Sign/Temp. ____Sign ____Move ____Demolish <br />PROPOSED USE: ~ngle Family ____M/F ____4F of Uni ts _____M/ H <br /> ____Commercial ____Indust. ____Swim. Pool Other <br /> ____Restaurant & Health Department Approval <br /> J1.!~~ ~~~ ~ / <br />. d> ; <br />BUILDING SIZE: /.3 ~S- 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 />$ 33; ?DO.f')D, <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />'2 &0 AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />i <br />-.-MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING GAS ROOFING <br />TYPE OF CONSTRUCTION: ~lock ____Frame ____Steel <br /> <br />SPECIALTY <br /> <br />,0 the r <br /> <br />J'Y <br />~f;' <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION/? ~ , ? ' <br />Company /1 /4-e gc..l,' ;/c::k.e./?..r -Z c ~ <br />State Cert. or Regist. # c:::.6c O"l"?7"'?S- <br />City License Registration # :3 22- <br />*********************************** <br /> <br />::=:~ ~~ Company ~4~ E~~c <br />. -L S~ate ?ert. or R:gist..# /~~?o% 7:3 'Z- <br />__________ _ fl- _ Clty Llcense ReglstratlOn 4F .:J.,1.y <br />********* ****************************** <br /> <br />PLUMBER At ( C /f1r{.e L-C'1 Company /1-, c - ,41 VrJ/\ ~ /"" ~ <br />State Cert. or Regist. 4ft { <br />Signature~ ~ City License Registration 1F 017 <br />~ *********************.******************** <br /> <br />MECHANICAL ~/ a [1"( r L ffla (/ Company &. (O;\f() (00 [,';1/0 f f!t"t:d,""vc IN C <br />/;( / I../.. .p -#-- State Cert. or Regist. ~ftRJ1 OO{oo'f/!iO <br />~ture Jc!1;-u" cltAkur. City License Registration 'I IOf. <br />f 9(~ ****************************************** <br /> <br />oT;;Llh ,;J.u r'^J Company <br /> <br />State Cert. or Regist. # <br />Signature City License Registration 4F <br /> <br />APPLICATION APPROVED BY <br /> <br />***)1(**********~***********************, <br />, a~(J- ,tlJ}~ <br /> <br />PERMIT OFFICER. <br /> <br />J; <br />