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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~1v..A,N COCllS~<A-C~cn0 ~e. <br />ADDRESS ~. 3l3~.s ~.e. S4 "W - Z~-fh~f ~PHONE IlrZ, 08~S- <br />OWNER keol:(J ~ ~'-f('V\~~ <br />JOB LOCATION - h c-\ ~- <0 E\ 'I - I SIc::. b -I! d{;,IZE(d:) x...!..!t:1:J. AREA <br />\ <br />LEGAL DESCRIPTION: LOT(S) ~ -t I BLOCK II SUBDIVISION .e.;'+U <br />PARCEL 1. D. !,i--1j, .- Z<a -;). , - 00 \0- 0 ('~D - 60 G (:J <br /> <br /> <br />WORK PROPOSED:~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br /> ____Sign/Temp. ____Sign _Move ____Demo 1 isl: <br />PROPOSED USE: ~gle Family ____M/F ----I~ of Units .____11 / H <br /> , <br /> ____Commercial ____Indus t . ____Swim. Pool Othel' <br />'. <br />, ____Restaurant & Health Department Approval <br /> 211 ~II 135~ 8 <br />BU1LDING SIZE: X , Square Feet, Heigll: <br /> <br />RESIDENTIAL: <br />COM.'1ERCIAL : <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 FORNS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />BUILDING <br /> <br />$ <br /> <br />4o,oCfD <br />, <br /> <br />160 AMP Service <br />\ <t)oo <br /> <br />Valuation of Total Construction <br /> <br />~Florida Power Corp. <br /> <br />_\~.R.E.C. <br /> <br />ELECTRICAL <br /> <br />,,'fo <br />_~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLL':1BING GAS <br />TYPE OF CONSTRUCTION: ~IOCk <br />FINISHED FLOOR ELEVATIONS:t3~ FT, <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />****************************************** <br /> <br />OTHER <br />Signature~ <br /> <br />compan~ C~\L~' ~A~IJ~ .:4~~ <br />I:. ~ State Cert. or egist. 11. ~( <br />Signature _/. -L.~ City License Registration 't .~ J97 <br />**. * *** *************:Jr *'" *** ** * **,',,,, ,', ,': *,~1:,',;: . <br /> <br />MfCll,"TC'~~ Company 'BA..h~\s GAS.I A~ ' <br />'r1 ~ State Cert. or Regist. I.! ~~ A8 <br />Signature ~ ~ City License Registration 'I ~ 7K' <br />" " ..............................,.**,..**,., <br /> <br />company~VY\\e<Z- ~~i.0- ~~A-,.) <br />State Cert. or Regist. IF g~ ~5 4Jir- <br />City License Registration IF 58 <br /> <br /> <br />CONTRACTOR SEC~ON I <br />BlITLDER Company 'iNA-,,0 Ch",s-t. 3:.1JQ.. <br />.L..--'"" . ~ State Cert, or Regist. iF CP.C-<::>.s5./K4- <br />Signatur~~ ~ City License Registration 4/ 6~ <br /> <br />~~ G n .iJ';';~~:;,-*i,*,*'''''7k':eTl';J tr- {&t!-rC. - & <br /> <br />, _ Company _ <br />. j,/IA ~ State Cert. or Regist. iI ~ " <br />( r -L , City License Registration ~ ~ ' <br />, <br />***************************~************* <br /> <br />~c----- <br /> <br />',J -.. <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />******************** <br /> <br />PERNIT OFFICER. <br />