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<br /> <br />APPLICATIONI*tllt PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.'. <br /> <br />... <br /> <br />))Jis )),i/ve -I"J <br />6/J1? ~~. ~() <br /> <br />PHONE <br /> <br />l:'~ ~ ;,~ '~~n 1:1 '1 ( '-." ;~;": <br />WNER .' ". <br />_.<. ' .... _.Ir. ~ C",'.,. ..", :..,.'. ,_ , '_ <br />f ,,~ . ;....." t' ,. ~ ~ ';"c:-:.I "~ <br />013 \~qqA~tp}r'~~ .' , <br />,',' :>'.- ""f ..;"': '.,':' ,,' '. :'" 1...... ~ ,.....- ., .::"-l <br /> <br />gAL DESCRIPTION: LOT(S) , BLOCK <br />~~kC:~i'~Ii~p;.:~r;i '~/~~21~ /t)d<OX'tJt11J?J /t:) <br />~;:~;i\~;: ::: . ': ~ ::i.~ <br />. waR~ PR9pOSED:____New Construction ____Addition ~Alteration <br /> <br />'1, <br /> <br />LOT SIZE <br /> <br />~. <br /> <br />AREA SQ,FT, <br /> <br />SUBDIVISION <br /> <br />____Repair ~Install <br /> <br />____Sign/Temp, <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br /> <br />PROPOSED USE: ____Single Family <br />'Lcommerc ial <br /> <br />____M/F <br /> <br />____4F of Units <br /> <br />_____M/ H <br /> <br />____Indust. <br /> <br />____Swim, Pool <br /> <br />Other <br /> <br />f:~ "!.r-( <br /> <br />____Restaurant & Health Department Approval <br /> <br />-. <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br /> <br />",.RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />~"i,\rCOMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** , <br />, .;~ <br />Ni~4IJ ;~~;)flt.*y.R~Y OF CO~~RACT REQUIR.ED, <br />PERMIT5'REOlJESTED <br /> <br />iRTJ~'tDi1SGf~ , :$) ~, <br />~.,'~~~~::~'~r-;~;~."~W? ~~,f(,; . - -: <br />~~.~,,~t_ r _,-, ,~ ' <br />'. ~ EJIrE,H!~~c:AL . <br /> <br />..'t' <br /> <br />'I <br />; Valuation of Total Construction <br /> <br />..-i.'1. <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_H,R.E.C, <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.' <br />~ . I' . <br /> <br />X <br />LBlock <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CO~STRUCTION: <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />);',i,J,; BUILDER <br />A!:';1.{~:;: <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist, 4F <br />, . ;.' " City License Registration l~ <br />****************************************** <br /> <br />j I; <br /> <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration 'l~. ' <br /><';.:l i, , ' ~). '.' " ***~,**~:**********************i:*~d:****,':*~'**"" <br /> <br />',.,O""T~,ER~',~.,a.A"s,.. ',.; i ./~,. . , Company ~t/e,&M& /M7761A1/1L-~6e,1!..I' <br />, ; ,',' '., . t state Cert, or Regist. ~F .5'-.:211 <br />" ignat1,lre:, - City License Registration IF ~..r;- <br /> <br />'.....,~~;::.,;:;; }':~ *****.******;****************************** <br />~P~~CATTON)~~iiR01(~~.r.:UI'.'. .. " .' <br /> <br />:..""";~'",;,,,;;_,~~~'-,".:~.....,~,. " "1".-":",,' ".,. : I,) , <br /> <br />, " '~:'~0J!0W.1 H33R00 ,~~,,;~.., <br />,....~~"I"tet 00 ll1flfaGjMMoJ YM ,t~.. ';"'~~\ <br />. ,"na.' '.1 ,IlSIhQA , '.r( a.;:~ <br />'i~~~~~~IlIAl YORTU1lHTOJOMOIl ~~:"~~' <br />~,.:\i.,;';N'~_,:/~"":" - "~,\1~ .'" <br /> <br />1'_ <br /> <br />PERMIT OFFICER, <br /> <br />,~, ooow :.1 f1133A((1 <br />(,R;ff>:l t~~cH~t 0J . ~:{li(~',j~!.:,~t~.A! ..,','!. <br />OO(1t . \!~ "'~'~ <br />::.~~ ..r:~.'.;~I~J "';:."1 '-r,;~r,: (fe,,: ", ~.'.(.,,! <br /> <br /> <br />'~'I~ - ". . '.:~ '._ <br />...': <br />