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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Pft~\J \ OU S fer m I .h: <br />l:t311 z:, 13 <br /> <br />APPLICANT <br /> <br />6Q.1\c:LLA. De.u~ lqJ ('rl efl-L LC.> (Y\ pr-'.l~tj <br />ADDRESS ld-?X) 3 U 'J f1u.J'i 3D I, tQdQ.. Ct ~ J FL. '3~5 <br />OWNER ~e.ef - 0 - brOJ1 y ''::> <br />JOB LOCATION-=1 3~'l f.yLl \ B\~ (l-turhl (lr;.-~IJ{lJt.lJ LOT SIZE_X <br /> <br />PHONE <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____IF of Units <br /> <br />.____M/ 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: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <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 />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />LMECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />:3,hq2.~ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signatur <br /> <br /> <br />CONTRACTOR SECTION <br />Company :x...nd'i De-'-le\Dpn--e..-,",t.. Ccm(-lo..Nl'i i::nG. <br />S ta te Cert. or Regis t. iF c... -0 C b ItA ,,)6 <br />City License Registration IF <br />**************************************** <br /> <br />Company ~ khl ~iZ-1( ~ <br />State Cert. or Regis t. 4F J 3 :::> (oC( <br />City License Registration # ~().::: <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />Company ~fr<--K!; 14(c ~H-{6' ~.FI. <br />State Cert. or Regist. # G.ftCO~ /d 020 <br />City License Registration # ~ , <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration IF <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />