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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />J Or{ 1tI1_. i' K!+ '( <br />C;E;iG'E~ Ro <br />RA ~ {1./7.7TE <br /> <br />, <br /> <br />C1Yl: s+ <br />cr <br /> <br />{viiI-if <br /> <br />~ ~2.b <br />PHONE ~ <br /> <br />APPLICANT <br /><I -, '7 / <br />ADDRESS cj ( /.j b <br /> <br />OWNER S CH1/A->( <br /> <br />JOB LOCATION L( 11 2 <br /> <br />LOT SIZE~X /'itJ AREA SQ.FT.t too <br />--- <br />---S SUBDIVISION 111~/ fi 70'S <br /> <br />BLOCK <br /> <br />PARCEL 1. D. 4F <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 />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />,____M/ H <br />f;/f([;/[; <br /> <br />Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____4F of Uni ts <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant & Health Department Approval <br />1~2,o <br />,,:> X , <br /> <br />Square Feet, <br /> <br />300 <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 />LBUILDING <br /> <br />$ <br /> <br />200 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />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 />____PLUMBING GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />C'O !fief(, E1E~Other <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <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 />Sie:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*:*1*********~***********************,*** <br />I f1A.t A'~ t7 J) Afy, ") ~ ' <br /> <br />PERMIT OFFICER. <br />