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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />APPLICANT /It; IV ~J I L F j .. r OjV >I i..fA l,tJ I / /J C- <br />ADDRESS /2 J i S{)f}f){iiJK <) rl~Y57AL )m;Jf~IloNE S 1-:;' -7 V2 -()sYb <br />OWNER J0 f I/A/(lL'(/ f/AJ?tJ&'-/ <br />JOB LOCATION <:;;y-~ s-If d LOT SIZEi21l-x7U AREA SQ.FT. ~f()() It. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ 11-26 - 2( -oolD -09'700- ()()7~ <br /> <br />WORK PROPOSED:~New Construction ~Addition ~Alteration ____Repair ____Install <br />CO~C~eJE ' <br />,+(.Lu1/,.JUA:' Sign/Temp. _Sign ____~!ove ____Demolish <br />plOD p;!ltMY-'[7 ---- <br />5t1'GP <br />PROPOSED USE: ~Single Family _M/F _t~ of Units ,_____l'i/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />. @ARroffxs HFr <br />BUILDIN-6 SIZE: ' 24- X /2 , ~ iX/f) Square Feet, <br />A T7[) ~ <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COPY OF CONTRACT REQUIRED. <br /> <br />If 'f Y f Height <br /> <br />& (1) SET ENERGY FO~~S.** <br />fORHS . ~,* <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />!::'A 6 7 <br /> <br />00 <br />~ Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-I.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.- <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />X SPECIALTY ~()MoZCdtJ~~ <br />.4L LA tVl/I-JL.(,....Other <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br />FINISHED FLOOR ELEVATIONS: ~ <br />**********************************~**~*~*~ <br /> <br /> <br />CONTRACTOR SECTION <br />. Company K. (;:A) hll L Fl..! C OAJ'5tjJA /AIr IIJ C. <br />State Cert, or Rc~ist. # <br />City License Rcgistrat.ion II 3t?-3 - '7- Y'I <br />************************~****** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />~/A- <br /> <br />Company <br />State Cert. or Regist. II <br />City License Registration II <br />************************************~*~*** <br /> <br />Si!!nature <br /> <br />PLUMBER <br /> <br />Ai/A <br />/ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration II <br />************************************~***~~ <br /> <br />Signature <br /> <br />MECHANICAl. <br /> <br />fv>/A- <br />/ <br /> <br />Company <br />State Cert, or Regist. 0 <br />City License Registration 0 <br />********************************~****~**~* <br /> <br />Signature <br /> <br />OTHER .?\j/:4 <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />*******************************~**~******* <br /> <br />PERl-llT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />