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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT ~I!l~ ~ !fEWIft/C 'jt;(/ <br />ADDRESS 366 S hfuNl>ntiltJ /~ ~t' <br />OWNER 6 \1f,/~ <br />JOB LOCATION 6'/12 J~Lve-p(a#r~ <br /> <br />PHONE <br /> <br />(3'1 ~) 7Yt':;2 l' j- > <br /> <br />, <br /> <br />LOT SIZEX X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.1F .~ - ,,2,C- A/~ /2--0 -"s- <br /> <br />WORK PROPOSED: ~ew Construction ____Addition <br /> <br />SUBDIVISION <br /> <br />____Alteration <br /> <br />_Repair <br /> <br />____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 />_4F of Uni ts <br /> <br />__M/H <br />~/ 1iA:AJ'"..-Ilc Other <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />____Restaurant & Health Department Approval <br /> <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 />_BUILDING <br /> <br />PERMITS REOUESTED <br />$ ;), 0 0 0 . u"l) Valuation of Total Construction <br />, <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 />_PLUMBIN'G <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 /> <br />CONTRACTOR SECT~ ' ~ <br />Company ~~ <br />State Cert. or Re~ist. # <br />City License Registration 0 <br />************************************ <br /> <br />dL", <~ <br /> <br />Signature <br /> <br />?~ <br /> <br />ET.ECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <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 />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />-"\,t <br /> <br />. ".,...,.., ,"" <br />