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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />1) A-v'l 0 <br />---.J~o~lf <br /> <br />I-IJ{ 0 yE(l. <br />to. ~LA <br />rl12A ~vT <br />G 5 if ~ G{ct (J t3/vd. <br /> <br />ADDRESS <br /> <br />PtJc <br /> <br />( i'Y3 ) <br />PHONE C) 6;2. ,- ( 8tJo <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. # ();) - d{g - ;)./- 00 I 0 - D S' (p 00 - tl 0 I 0 <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 />____# 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 />I <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 />$ <br /> <br />SOD <br /> <br />AMP Service Florida Power Corp. W.R.E.C. <br />1>15c.....~ -t- t1el..()"'~ct Ac etjftfl\4....f ov- (1;'ll.f r;..; rerJ-. <br />Valuation of Mechanical Installation <br /> <br />____PLlYMBING <br /> <br />GAS <br /> <br />)( ROOFING <br />. <br /> <br />____Frame { ____Steel <br />~ RerJ -VIL;cJ-,~ Aa-t- ckc..t <br />FT. .L I d ,L <br />- 11:H'(. 'r\ 0lf0.J^ ~ rz,,, tljI. j <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />Other <br />\",;\~ <br />')J/~' <br /> <br />$' lfOoc> <br />j <br /> <br />s;~~ rS <br />App~jC .2 - 3 S~~..f't> <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />H.lCt{M=L 6. \-{~\(C5 Company t-Af> \-(A-'lC'5, <br />/& '-#,,") /?~ State Cert. or Regist. # <br />/ ~.. /:J. <L./~ City License Registration <br />. ******* ***********************,,:********* <br /> <br />,...,-.- ,,- <br />J.-^^- . <br />C,q.Cc> LfJ.157 <br />if J to fn ~ <br /> <br />MECHANICAL <br /> <br />OTHER ~OOfll\,)& (Zo0t/tT F: E\Jr'\-IV~ <br />Signature ~~ ~ <br /> <br />Company F.t 1'tN5 Cr. k(.-h~ <br />State Cert. or Regist. # CC _o3~q<(1o <br />City License Registration # 1(, (" S <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />