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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~/-~ &,,~~ .5?;c <br /> <br />, r <br /> <br />?/? :7';--?C-:S ~ " ~,r-::r ~ . ~33P9'rPHONE (5/3 /7'.?~'" ~J'-?yO <br /> <br />ADDRESS <br /> <br />OWNER <br />JOB LOCATION0302...2.'~/Iy{.:';,/.::.e L4r/t:.e. LOT SIZE~Xla)/ AREA SQ.FT, ?d6c9 <br />LEGAL DESCRIPTION: LOT(S) /~ BLOCK SUBDIVISION 2~i;/,- ~M /-sr-~R <br />PARCEL I.D.# /'2/:>-1;, -Lj - (I)/':)~lD - 00 ~ ""0//- O/'/-D <br /> <br />WORK PROPOSED: ~w Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ~ngle Family _M/F _IF of Units __M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING d/f'/ rJI j-) ( II /33'"3 Square Feet. &"../ Height <br />SIZE: ' X l. -0 , <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />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, .s-ona:, <br />, <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />200 <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />I <br />_MECHANICAL <br /> <br />$ /gSU1DO <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />(J <br />Q' <br />~ <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION L?~ // .4 /' ./ <br />Company /'r'i:/:bL O'-l.(:/~~ ..:::oc <br />State Cert. or Regist, if C6c o'VrP-Y'?r- <br />Signature City License Registration 4F 5":2 2- <br />* *************************************** <br /> <br /> <br />:::::~ Company ~dj- ~ 5&$ <br />7 ~ State Cert. or Regis. # 0 0 '/c3 2- <br /> <br />.0 __ .. - /// ........p'......;~;~.~~~;~~;.~;~;~;~:;;:~ ii, ;J :t.y <br /> <br />PLUMBER /If CA/lte.l-O'4 Company /1-, C' ~/~/rl 7' <br />~.d ./? State Cert. or Regist. 4F ' <br />Signaturer.....-e-c ~ City License Registration 4F e>?7 <br />****************************************** <br />~ . <br /> <br /> <br />MECHANICAL <br />Signature <<L't <br /> <br />Company Eco;uo COtJL'A/& f -ff~-A/~ ;-~ r <br />yJ.#- State Cert. or Regist. t! R t ~d' <br />~~ A City License Registration lp /t!)~ <br /> <br />QTHER~~"""':::::::*."........'.'... <br /> <br />State Cert. or Regist, # <br />Signature' . . _ City License Registration IF <br /> <br />APPLICATION APPROVED BY ~~********* <br /> <br /> <br />PERMIT OFFICER. <br />