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<br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Jiu.M~N CON~+ttU.~Dl\.J) I~~. <br /> <br />ADDRESS ?:, 132.."" s'~. S~ \J~"" -\ - Z&,plt<fihi\\s PHONE (~2 .oez S <br /> <br />OWNER Sh..pnPrf',)-, ~ c.c..\ l~~ <br />,~ . <37 ros 1ZJ'...\j~S~\rtf.. <br />JOB LOCATIONbot E:iO ,~ YJ~QGC.I.I..:)OOQ N\~o(L LOT SIZE_X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BB BLOCK SUBDIVISION 'vJ(,OC::t~L.000 1::) <br /> <br />PARCEL I.D.!! \O-~to- ~I- 6\2.0 - 0000 -. O\~C) <br /> <br />WORK PROPOSED :X New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: x..Single Family _M/P _iF of Units ,_M/H <br /> ."i~ <br /> _Commercial _Indust. _Swim, Pool Other 1 <br /> ') <br />1. <br />, _Restaurant & Health Department Approval <br /> SIZE: ..J4- X~, \ '1 ~:3 3 , <br />BUnDING Square Feet. Heigll [ <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S, '''' <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 />VELECTRICAL <br />/' ..:~ <br />~MECHANICAL <br /> <br />~LUMBING <br /> <br />$ <br />~OO <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />.Y H.R.E.C. <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 />CONTRACTOR SECTIO~ <br />BUILDER"""----"'" Company ~Mf't;;N CDNS-~~<::\i ^ ~ <br />~ ~ ~ State Cert, or egist." <:~-o~~\!1,'" <br />Signatur - '- City License Registration il <6G <br />**************************************** <br /> <br />~c. <br /> <br />ELECTRICIAN <br />Si!!nature &..~<:? ~'-~ <br /> <br />Company ""~~\-\~ b \~c\-"Q..k <br />State Cert. or Regist. il c:x:::> 1~6A-~ <br />City License Regis tration;! ~ '\ \ <br />****************************************** <br /> <br />Signature <br /> <br /> <br />5 Company U/~ J tfVrJe5 flV&~i.~ <br />State Cert. or egist. 1! f(' t' '/6 <br />City License Registration :1 J '75" <br />********************~******************* <br /> <br />Signature <br /> <br />Company Bl\h~.<; G-~S~ f\-Ic- <br />~ _ W State Cert. or Regist, Ii c C()'-t~ol"+B <br />"""--LlQy) C-\ .}' City License Registration 11 cl.Jj <br />********}********************************* <br /> <br />MECHANICAL <br /> <br />OTHER ~~A><~ @--/')_ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />********************** <br /> <br />PERt-lIT OFFICER. <br />