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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />/;? It t <br />/, / ~bU 11,9 <br />,,' '0.... \ <br /> <br />APPLICANT _r-==Cl~~ ~'SCD ffiE:d'\ Co.."", Ce.n-\-e.r <br />ADDRESS La l5l ~n.. \ \ ~\ \lri. t2e~~FhiJ1; ~1.... PHONE <br />OWNER U('. ~nl1l 1f. L~-~ I:::. h4J ~a..rte L ~[;'rd: y- ~1. De Ijadn <br />JOB LOCATIONlol~\ Ga.\\ 6\vd,-z.e,;h\.J.r~ LOT SIZE_X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT (S) f)() \ 'D BLOCK D~d ~SUBDIVIS ION (') () l D <br />PARCEL I.D.,~ '03 ~~~-~\- aOI D-o~CD- C ~I 0 <br /> <br />WORK PROPOSED:____New Construction _Addition X Alteration ____Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _,~ of Uni ts __M/H <br /> .LS:...commercial _Indust. _Swim. Pool Other <br /> <br />\. <br /> <br />----Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />,LELECTRICAL <br />:r <br />L-MECHANICAL <br /> <br />~PLUMBING <br /> <br />$/~..Z(jC) ~ <br /> <br />, <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br />('~~ <br />$ / h ,:;Ld .~ <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 />('\ 0 0\ ~TRACTOR SECt!!JN () _ _ <br />BUILDER \.." \J de.. \:)("ofueA:S ~-6 Company velP ~rl")~ e..rs ~.{..ro C;{; OJ <br />/} d State Cert. or Regist.,~ Ct>LD.'SqO'-lq <br />Signature e::.~ t':.~ AL ~City License Registration # l-H~ <br />****************************************** <br /> <br />ELECTRICIAN ~ 0 ~ N 1(, c.k r\~ ~SoN, i.... Company J 6 h 11 <br />_ Qil_ ---.LJ' J I-~ State Cert. or Regist. # <br />Silmatur~~' /\.. .J..L~--J City License Registration tt '1.,_ <br />****************************************** <br /> <br /> <br />PLlJMBER~' C. pllh&t. !J';r-l1kk: O~~pany /J .c. r'1u--.j,,~ <br />/p_ / State Cert. or Regist. # <br />Signature ( ..A' f_/ c ~..... <-~ City License Registration i~ 617 <br />*********************t******************** <br />j C I \ \ <br />flECII!BICAL .~...r,v I( ~ Company _"'> 0 '" IV V' i), ,. c" "A:! If IL t d~ r <br />~ ~ State Cert. or Regist. 4F <br />Signature . m 5 City License Registration it tI 2..- <br />********** ******************************* <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />