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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />(} o;UTJ2.H C-./CJRS. <br />7JA-U to/ PHONE 67R It ~:5'J 6" <br /> <br />f}AJ II ~ R c5}J (YI E!/;tJT!1- I--. <br />ADDRESS )O;;;~ / NWY. 301 <br />OWNER ffI ff1~XL- Y nJ' L:;cJU~~ <br />JOB LOCATION 56, /1 I;{ 711 5:;-; <br />LEGAL DESCRIPTION: LOT(S) 1/ .2~J,' <br />//-;({p~:)1 - OO(D <br />, <br /> <br />LOT SIZE_X AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />- )OSOO - D)SO <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install <br />____Sign/Temp. _Sign _Move _Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~~ of Uni ts <br /> <br />_____M I H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <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 FOR~S.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,*it <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br />~ELECTRICAL <br />XMECHANICAL <br />_PLUMBING <br /> <br />$ <br /> <br />/.6"() AMP Service <br />$ :15%~ <br /> <br />Valuation of Mechanical Installation <br /> <br />Valuation of Total Construction <br />~ Florida Power Corp. <br />I <br /> <br />_W.R.E.C. <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />::::::~ ~ Company ;;/JRmf11t} :;'V,''if{f!/ ,em <br />. /l; . s~ate ?ert. or R~gis t. . # ' . }t'/tJ <br />C1ty L1cense Reg1stratlOn ~F /~/ <br />- ~/ .......................................... <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Company gill IIr~OIJ/nc,I/77fL (!olv71M(!..7ab <br />State Cert. or Regist. ~,! ~~Ac.~f}r3g 2- <br />1 License Registration _____ <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERI-lIT OFFICER. <br />