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<br />. . <br /> <br />... " <br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT .s~ Deue-lof!(heJ1t CO. . -u1c. <br />. <br /> <br />ADDRESS 1~3 U,5,l1w'-( 3DI ; Dade C-d-Y I fL 3~5 PHONE (qU-f}5foj-';CfL) <br /> <br />OWNER fM Pw..f\ Pro perhe5. ::Cr1C C6 \~ ~5) <br /> <br /> <br />JOB LOCATION :~-1l.30- :~ llLfo orJ< KU.~-\f'''A r'de LOT SIZE_X AREA SQ. FT , <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />fY'tX j2uxL <br /> <br />PARCEL 1. D, # <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 />A-M/F <br /> <br />~# 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: 145' 2i' X y-o' , <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,u <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />AELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_W,R,E,C. <br /> <br />____MECHANICAL <br />-x"-PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 /> <br />CONTRACTOR SECTION <br />Company Sn rii.u f)e.u~ k~ ~(\t- Co. .:DI e- <br />State Cert. or Re~hst. iF Qf)c.o IOQ.:l6 <br />City License Registration iF I~ <br />************************************* <br /> <br />Company ~ .A;I'\J ~ . <br />State Cert. (fr Regist. iF ~0 ~ <br />City License Registration 4F ~,~~ <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Company k~o,,'\..e.A:_ P \0 ~ b Il~ -:t:" (Ie. . <br />State Cert, or egist, # {, F h4r.:l qq B <br />City License Registration jfr Cj I <br />****************************************** <br /> <br />Company <br />State Gert, or Regist, iF <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, 4F <br />City License Registration iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~****~******************* <br /> <br />/1'A1L'..A'~ ~ ~ <br /> <br />PERMIT ~)fFICER, <br />