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<br />. ' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />___, 7' S l/;";: .~ . <br />\. \--, '. c. U <br />+r \ <br />/)--. ' <br />_' .1/. <br />I".tr <br />,\ <br /> <br />APPLICANT be. {L 5~~ (D,...JS ~./n_ ()~ <br /> <br />ADDRESS 3;:17 l f 6 ~1.\:.J?t:TS LAJ <br /> <br />BM6'2. ,~\~ \iL-L~'-r <br /> <br />JOB LOCATION~' IJO~LE-_ (t::Fe)_ LOT SIZE76 x/2.D AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S)~ 5 BLOCK SUBDIVISION~J+.:E7~<> (";LU~U <br />~1Lv'&L. O~ ') <br />PARCEL I.D.~t <br /> <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ----Repair ___Install <br /> <br />PHONE <br /> <br />OWNER <br /> <br />___Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />___Sign <br /> <br />~ove <br /> <br />---Delio li sh <br /> <br />~/F <br /> <br />___~t of Units <br /> <br />.-M/H <br /> <br />___Commercial <br /> <br />___Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />BqILDING SIZE: ~x=>f3 , <br /> <br />~estaurant & Health Department Approval <br /> <br />27/S <br /> <br />Square Feet, <br /> <br />~~ <br /> <br />IS <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PFRMITS REOUESTED <br /> <br />K BUILDING <br />X ELECTRICAL <br />(C- MECHANICAL <br />-x'-PLUMBING <br /> <br />C~l ~SC().. 00 <br /> <br />, <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br />~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$3709. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ___Block ~Frame _Steel <br />FINISHED FLOOR ELEVATIONS:81-6 FT. tn/r-Je <br /> <br />Other <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company G, ,C. .sTelE' CJ:>J.JS~-. <br />_ State Cert. or Regist. # <br />(.......,-(2 City License Registration # /fJ J <br />****************************************** <br /> <br />Signature <br /> <br />F.T.ECTRTCT AN <br />Si~natur~~ <br /> <br />Company . 'Z.-\..l\.U-<O:L ~L~". ~c2n.v. <br />~<:r:[J State Cert. or Regist. II """"-' loll> <br />City License Registration # to <br />**************************************** <br /> <br />Signature <br /> <br />Company CJ. . <br />1 j _~ j,/ () d / State Cert. or Regist. 4t <br />Vl/'7~ ..,ZJ. ~ City License Registration # <br />*********************~******************** <br /> <br /> <br />PLUMBER <br /> <br />MECHANICAL Company gAIIJ( ~ /~~A~ (.. 6'"".5 l"'fl J";vt:. <br />")/ J ~ ./ State Cert. or Regist. ~t (""'D"..79 V8 <br />Signature N ~~ p ~ City License Registration ft <br />~ ~ ****************************************** <br /> <br /> <br />Company <br />-) V n / State. Cert. or Regist. ~~ <br />Signature\ i ck -~______~~VI;;" City License Registration ~t <br /> <br />****************************************** <br /> <br />APPLICATION <br /> <br />TlROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />. ,----- <br />