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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />1;1/0 ~?i?I~ <br />/~1/1Jf ~ <br /> <br />ADDRESS <br /> <br />Gv 1/'-: 8R6 ~ <br /> <br />r', O. 185)< /7"00 <br /> <br />rc> M t'1 5 () e 1.. G-. A '0 () <br />~ '7 -- - 07./;1'7 ~ <br />JOB LOCATION -c- / ~ 0"/1 L.. L tv L... (/ j). <br /> <br />Gry~rC;; <br />~N Jlrvr.s:/'YIo. <br /> <br />_ -::2'2>-7~ <br />~; 'lP~ <br />L 4... PHONE ~- l? ~- <br /> <br />.;l ?c6- a <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />LOT SIZE/'..:)' x.s73 AREA SQ.FT.;9~.(?....s- <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />0'0. .:1(;. ~ ;1./. <br /> <br />66/0 - <br /> <br />WORK PROPOSED:____New Construction <br /> <br />____Addition <br /> <br />6~.;J. d 0 - a 0 I 6 <br /> <br />~teration ~~air <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~mmercial <br /> <br />_M/F <br /> <br />_tt of Units <br /> <br />,_M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />Restaurant & Health Department Approval <br />'1~ X (~O <br />BlULDING SIZE: I g X ~3 ~ ?~~ Square Feet, <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 />~LECTRICAL <br />~l~HANICAL <br />~UMBING <br /> <br />$ &5;0 a<;s <br />. <br /> <br />C:S(:l <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br />~~ <br />$ 3~06 - <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 />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~TRACTOR SECTION ~ <br />BUILDER c;. (.) j;) I!€' tf3.<) 6 ~ (;!.I';4r . Company G- V t;) ~ t6 V<. c? \.., l::!. N ,. T C c:a <br />~ }4. State Cert. or Regist. tt j( ~c:!>e. 6 ~,~~ <br />Signature ~ ~ City License Registration # ~ ~ <br />****************************************** _ J? J' <br /> <br />ET.ECTRTCTAN~ ~ Company ~ X ~.---~ <br />()J. ~ J j State Cert. or Regist. 4t, tJ61StJ 7// <br />Si2I1ature c;777~ ~ /) ~ ----' City License Registration # ~ ~ <br />*********************************** ***** <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br /> <br />~Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br />c. <br />5()A//l/v~ <br /> <br /> <br />rs <br /> <br />Company <br />State Cert. or Regist. # <br />, City License Registration <br />******************************* <br /> <br /># rf 'J- <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />