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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />0-0 <br />'1 0 ~ <br />~~r J3~17 <br />J " <br /> <br />APPLICANT <br /> <br />/?,J,e !3u;/c/e/'S ..IAc <br />707 J/\lIC! ~ ,. f4':1~.s C;>!-:J fA 311'r$/ <br /> <br />PHONE "VI - '('2 2 -RZt;a <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />..sCVY\e <br /> <br />&is <br /> <br />a " 0 /J"e <br /> <br />JOB LOCATION-SS/tJ ,;Jvti s--l-<<d <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />1.3 <br /> <br />BLOCK <br /> <br />LOT SIZE~X 9'2. r AREA SQ. FT. 920D <br />SUBDIVISION /lq 2e( /-Ie/jl..r...s <br /> <br />PARCEL 1.D.# /2- 2t,-21 - CO?~ - aonoo - 6/30 <br />WORK PROPOSED:~W Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~gle Family <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />____# of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />. " 1 I <br />BUILDING SIZE: ~ -f5 X~, <br /> <br />1327 <br /> <br />Square Feet, <br /> <br />gi <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ ..c~<;; () o{) ,OJ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />200 <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~ock ____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />*i*********************************** <br /> <br />CONTRACTOR SECII~ ,d <br />Company r'ctp.e 6vl..//~- ( .zr Co <br />State Cert. or Regist. iF C6C or-J>'?'7r <br />City License Regi;tration # I :7 Y <br />************************************** <br /> <br />~ <br /> <br />CT <br /> <br />Company ~/1Z) ~ C~ ~,> <br />State Cert. or Regist. .1F E5"fi'(u:'J/07.3'L <br />City License Registration ,F //7~ <br />********************************** <br /> <br />/' <br /> <br />PLUMRER .A ~ _ PI " ~; :::: Company A_ c _ c. E ,,-te, f' r i 5 <2-5 <br />~ ~ [' State Cert. or Regist. #~- OO~~7 63 V <br />Signature ~ .~~,..,..........~~~:.;~~;~~;.~;;;~;~~;;.~~ 'I . <br /> <br />f. t <br /> <br />MECHANICAL ~o'V) <br />Signature 1Jclt. <br /> <br />(UOO~lM "fie,., {"'j Company {3CdN 0 COO{iM(' -f fI~cllVl' <br />State Cert. or Regist. iFl?lJ-dOtOq,rd <br />City License Registration 'F I 9? <br />****************************************** <br /> <br />/ <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />