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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />'9 ' t{ - ~Jo iJO <br />~r/~ <br /> <br />JOB LOCATION <br /> <br />(;. L. STf:::::;-V~ Qo}..)~TR..vc.-nOJ..J <br />~ 77 Lffo b-L.4--Des L0 ' <br />51 moD ~ eLEA,vOfL S...u,b~ <br />&,30CJ Wu,u'"(I..0G-rOl.,) t)p- <br /> <br />PHONE <br /> <br />7 g;;J, -'11../-1..{..7.- <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) I ~5" BLOCIC SUBDIVISION SIL-V€.-::F!- O~S <br /> <br />PARCEL I.D.~. ~ -;).0- ~I - [~- 0 - (~S <br />/ <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ----Repair ____Install <br /> <br />_Sign/Teap. <br />PROPOSED USE: ~in8le F~ily <br /> <br />____S ign <br /> <br />_Move <br /> <br />--PellOlisb <br /> <br />----"/F <br /> <br />____~~ of Uni ts <br /> <br />---1f/R <br /> <br />_CollUlercial <br /> <br />_Indust. ____Swim, Pool <br /> <br />Other <br /> <br />----Restaurant & Health Departaent Approval <br /> <br />BlJ.ILDING SIZE: <br /> <br />SQ <br /> <br />7/ 4- i' <br />X . <br /> <br />3~lV1 <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHHERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS,.. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PFRMITS REOUESTED <br /> <br />V"'BUILDING <br />..-/ ELECTRICAL <br />V'MECHANICAL <br />i/"'PLUMBING <br /> <br />$ <br /> <br />17to. 3~5.00 <br />, <br /> <br />Valuation of Total Construction <br /> <br />;;1.00 <br /> <br />AMP Service <br /> <br />~Florida Power Corp. <br /> <br />_W.R.E.C. <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 />CONTRACTOR SECTION . /l _ <br />Company G. L. ~""eI (;' \.:.,.CJJJS-rllve rl 0 iJ <br />State Cert. or Regist. ~~ ~.A3-W~{ 3~ <br />City License Registration # ~~ <br />*.*..***...****.*.*....**....*.*********** <br /> <br />pI ECTRICIAN R\C-tlAfZl) Du(.:"c:.'=:.'\...D Company'Z.-\..lu_~' ~L..ik.~" ~~n..~. <br />r~ ~g:[) State Cert. or Regist. , <>0"'.1..1.5- <br />Shmatu City License Registration 4t --!t~ <br />**********.***************************** <br /> <br />PUIMRF.R ~i ~ BAiJ<<:.. Company 0 . <br />~ .2 M State Cert. or Regist. # <br />Signature C . City License Registration <br />*********************~******************** <br /> <br /> <br /> <br />MECHANICAL K E'JHJ 1?>A-fJ- "- Company 6'" Hit '.$ /...~ ~~ t.. t5~ S l ""fi ...r ~~ <br />"'J/ .L ~..A........ State Cert. or Regist. ~~ C""D".7. VI <br />Signature h . p. City License Registration f~ ,., <br />~ *******.***.*.******.********************* <br /> <br />OTHER ele.~ GM IlJ <br />Signature G. -----P ~ "'--.--- <br /> <br />Company G PrJ I ).j K:o-or:;'( to G <br />Stata Cert. or Regist. U <br />City License Registration # <br /> <br />*************.*************.************** <br /> <br />APPLICATION <br /> <br />"ROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />4 <br />