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<br />" <br /> <br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />. BUILDING DEPARTMENT <br /> <br />APPLICANT &nd~ "DevLlopmen..-\ C.O. , I (lc. <br />ADDRESS IJ303 U_S. f-h,VY BCd Do.dt Cif1j )1L <br />OWNER Do..k RLtnProfk:r /- j es . 1/1 C . ~ ! <br />JOB LOCATION 31 '7 D2- - -3711 "b- rllik. Run 0.rde, <br /> <br />,:335d 5 <br /> <br />PHONE Qo'-/-5/'o 1 ']9q;).. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE_____X AREA SQ. FT. <br />SUBDIVISION Oo..~ 'Run <br /> <br />PARCEL 1. D. 4F <br />WORK PROPOSED:~New Construction ____Addition <br /> <br />____Alteration <br /> <br />____Repair <br /> <br />____Ins tall <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~M/F <br /> <br />_k...jF of Units <br /> <br />.____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: H51z."X YO' , <br /> <br />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 />--LBUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_____W.R.E.C. <br /> <br />I <br />~MECHANICAL <br /> <br />..JL..PLUMBING <br /> <br />$ <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 /> <br />CONTRACTOR SECTION <br />Company SQ.r1~ Deve..IOPrIT.ll+ e.G.. I n Co <br />State Cert. or Regist. iF C8 WloQ/)\3 <br />City License Registration # J~ <br />****************************************** <br /> <br />Signat <br /> <br />::~~ Company 0 an !;.Iedr,' c"", " <br />~ ' ,~ ~~~~e L~~:~~e o~e:~:~~~~i:rt ~05 <br /> <br />-- .~~~............................... <br /> <br /> <br />PLUMBER Company 090\,cJ PII..lf'Y\.b\ 0.3 " \ X\L. <br />~ An _ State Cert.or Regist. # c..F='CO '-f~ ~9 ~ <br />Signature ~~~ City License Registration 1ft 9/ <br />******* ******************************** <br /> <br /> <br />MECHANICAL <br /> <br />Signature ~~ <br /> <br />Company SonV\.~ S <br />State Cert. or Regist. # <br />frt~~ '!:1i-.. City License Registration 4F <br />***** * ********************************** <br /> <br />-:// <br /> <br />~ <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY. <br /> <br />PERMIT OFFICER. <br /> <br />~1 '. \ . <br /> <br />" <br /> <br />" <br /> <br />~Ji.~.. .; : ~. ~ :',~l . <br /> <br />},-, . .'~...> ".- . <br /> <br />",. '; ,. . , ,; .~ ~I~ <br /> <br />, <br />! <br />.._-".",j <br />