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<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />'P ~. . (If-
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<br />
<br />APPLICANT
<br />
<br />Gv oi: 8R6 ~
<br />r'. O. 181$)(' /~O 0
<br />() ~ t. c;.... /f '0 C)
<br />JOB LOCATION {, 7 f 5 G /i- L L 10 l... v I).
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<br />L'- PHONE' ~-t?"-
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<br />.;1. ?c- a
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<br />ADDRESS
<br />
<br />OWNER
<br />
<br />Ie> /fit t*1 S
<br />
<br />LOT SIZE/'S"xs73 AREA SQ.FT.?~.I?-s-
<br />-
<br />
<br />- -
<br />LEGAL DESCRIPTION: LOT(S)
<br />
<br />BLOCK
<br />
<br />SUBDIVISION
<br />
<br />PARCEL 1. D . It C 11 ;. .:l b - ill ~ 6 0 / ~ - 6 "?1 ~ c) 0 -' a cs I 6
<br />WORK PROPOSED:____New Construction ____Addition ~teration ~pair ____Install
<br />
<br />____Sign/Temp.
<br />
<br />_Sign
<br />
<br />____Move
<br />
<br />_Demolish
<br />
<br />PROPOSED USE: _Single Family
<br />~mmercial
<br />
<br />~/F
<br />
<br />_~~ of Units
<br />
<br />_M/H
<br />
<br />_Indust.
<br />
<br />_Swim. Pool
<br />
<br />Other
<br />
<br />----Eestaurant & Health Department Approval
<br />1:J. X (~O
<br />BUILDING SIZE: I S X ~ ~, 4f ( ~~ Square Fee t,
<br />
<br />Height
<br />
<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**
<br />**COPY OF CONTRACT REQUIRED.
<br />
<br />PERMITS REOUESTED
<br />
<br />~UILDING
<br />r;LECTRICAL
<br />~t~HANICAL
<br />~UMBING
<br />
<br />$ 8 S;o C:ScS
<br />,
<br />
<br /><S~
<br />-
<br />
<br />Valuation of Total Construction
<br />
<br />AMP Service
<br />~~
<br />$ :3~OO -
<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 />
<br />Other
<br />
<br />'. ~
<br />
<br />FINISHED FLOOR ELEVATIONS: FT.
<br />
<br />******************************************
<br />, ~TRACTOR SECTION /" .
<br />BUILDER ~ V D L tf31~ fS, S Ci-o..r . Company c;. I.J t;)~ 'tJ'?1.. 0. s \,~""Jo 7"' C~
<br />/:) _ }4' ~ State Cert. or Regist. It I?<s--&e;. 6 . 'j( ~ ~ ~
<br />Signature ~ ~ ~ City License Registration # ~'~
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<br />EI.ECTRTCTAN~~ ~ Company ~,(' ~~
<br />(J~\.' --:?' J ,. State Cert. or Regist. ft., tJt$tStJ 7
<br />Sismature ~~ -w!$ '/) ~~ City License Registration t~ g, ~
<br />****** *************************of,** ***** "J" on ,
<br />
<br />Signature
<br />
<br />
<br />Signature
<br />
<br />
<br />ompany
<br />State Cert. or Regist. #
<br />City License Registration #
<br />*********************~******************** ,
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<br />Company
<br />State Cert. or Regist. t~
<br />, City License Registration #
<br />****************************.*,
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<br />
<br />Company
<br />State Cert. or Regist. ~
<br />City License Registration,#
<br />
<br />OTHER
<br />
<br />Signature
<br />
<br />APPLICATION APPROVED BY ~~~***~~~~*******************
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<br />PERMIT OFFICER. ,
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