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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT )/ - W. JI} ~ 'f' GcrJA ~ <br />Y g--y~{) ~ J1-t.-O_ PHONE 7rt='--sDYV <br /> <br />- <br /> <br />r~ Li'~-D <br />JOB LOCATION &,,1 y y- ICe; yo..J) <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.~~ ~ - ~ C -:;;1..I-~ ,-cJ <br /> <br />LOT SIZE~ bt?1" AREA SQ. FT. <br />SUBDIVISION_O ~0 <br /> <br />WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/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 />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, /O)cY' b ,... <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 FORNS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />$ 6? 5'- <br /> <br />~ <br />lY ~ <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <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 />____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 />Signature <br /> <br />Sil?:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <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 IF _ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br />IF _ <br /> <br />/ <br />APPLICATION APPROVED BY( <br /> <br />PERNIT OFFICER. <br />