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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER t>>/l/!$ #~L (. <br />5/j/lJ F <br />JOB LOCATION tu/~ref!. ltIoh,Y"'" HO#1.e ;,'u/(' <br /> <br />$~i:S!lI1LL O. <br />>.~ t.>~F'I#-~t?3 fZ;iL; p.s .5.1- <br />, ~e-.f'/'/7i2-H,LlS"' FL, <br />2), L E{G, H- <br /> <br />L E/C;/! <br /> <br />APPLICANT <br /> <br /> <br />PHONE <br /> <br />:715,;2 - .3 3 / ';~ <br /> <br />LOT SIZE~X 7D <br /> <br />AREA SQ. FT. "?/f,O <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. 4F /c..f-;).. w -:J..l-OOD 0- 00 L. b 0 ~ OD OV <br />WORK PROPOSED:~New Construction ~ddition ~Alteration <br /> <br />_Repair <br /> <br />____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_4F of Uni ts <br /> <br />__M/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />VBUILDING <br />V ELECTRICAL <br /> <br />$ 3 f/DO D () Valuation of Total Construction <br />~ <br /> <br />AMP Service 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 />J\UILDER <br /> <br />(:~c) bn7J~ <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />......" . <br /> <br />FT .FCTRI C1AN(O W72PAJ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <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 />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED <br /> <br /> <br />***** <br /> <br />PERMIT OFFICER. <br />