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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />J <br />/) I L ''6'1 <br />APPLICANT 1\('7C,H' :;)''1,J La, /<,- <br />ADDRESS -==J-&-r s, I- (? ,rvt J --;;; /J V' (: . <br />OWNER t..4 ./fj,{ (; 7 ~' v/1 {, 6 <br />JOB LOCATION 5'gJ3 5' IJ~J/l-kef' S9u{//z~ <br />I <br /> <br />/ /2;'5 <br /> <br />. <br /> <br /> <br /> <br />PHONE S ';)' z.. .- 71 ~ - I 9 Z 3 <br />/Ji C~;>~{,ol (l{I;';/'( <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.D.# 02. - 2(, --,2/ -t1u/J ()3'J(}J.- tJ..J3() <br /> <br />WORK PROPOSED:__.__New Construction __.__Addition __.__Alteration __.__Repair ___._Install <br />___._Sign/Temp. ~ign ____Move __.__Demolish <br /> <br />PROPOSED USE: ___._Single Family <br />/Commercial <br /> <br />___._M/F <br /> <br />___._t~ of Units <br /> <br />._M/H <br /> <br />_Indust. <br /> <br />___._Swim. Pool <br /> <br />Other <br /> <br />___._Restaurant & Health Department Approval <br />BUILDING SIZE: .Ljj.... {/to r:; ;:(;(;{ Square Fee t, <br /> <br />/ <br />/7 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />& (1) SE1JNERGY FORMS.** <br />FORMS.** <br />, CO <br />(a 0 .'~ j2.JJX <br /> <br />___._BUILDING <br /> <br />$ <br /> <br />/,6 c.1D. <br />, <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />Z tJ AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />__.__MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />Other <br /> <br />r1 <br />"JA,'u <br /> <br />___._PLUMBING GAS ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ___._Block ___._Frame ___._Steel <br /> <br />~ <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <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 />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si&mature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL Company <br /> <br />Signature ~~~___~_.L_~;J~- ~~~~e L~~:~~e o~e:~;~:~~i:n 4~ <br />S. '... ..' *****************************~,**,~*******,~* <br />I "1 ,-J C~. /' /~ <br />OTHER /r-'O J C/C Y ~ (t) 0-' fo ,< ?? Company ~ 0/ e ( r S'011" ~ (J) ~ <br />I State Cert. or Regist. # c: 5 O.()iJ{) ~ I 7 <br />Signature City License Registration # <br />!/elf. t::.; ~.v..:JipDI9r7'77 <br />****************************************** <br /> <br />APPLICATION APPRQVED BY <br /> <br />PERMIT OFFICER. <br /> <br />... <br /> <br />, 'to <br /> <br />.- <br /> <br />'wi <br />