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<br />" , <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />cto~it7 <br /> <br />I!) <br />10 TT T 0 i_rrt II( E.t..! <br /> <br />Or:: "j(j (. t<E/l- 12-0. <br /> <br />5~'-1 ))/tI~ <br />( <br />t.fD .2 <f? --:J7)(. I:.'€,~ <br /> <br />HF'/f\( ~ i <br />~1) <br /> <br />PHONE <br /> <br />':?:~:3 - 935/7 <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />C'j't'/' <br />;?b I <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.4~ /3 - d. G - d- / <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction _Addition ~lteration' ____Repair --0nstall <br /> ____Sign/Temp. ____Sign _Move _Demolish <br />PROPOSED USE: _Single Family ____M/F ____4~ of Uni ts __M/H <br /> _Commercial ____Indust. ____Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />IV X ::L'{, fRp Fli-O 5lft!t) 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 REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />:2"7 ,-)7)" {v <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 <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 />c ^. ~. . ! ,)tONTRACTOR SECTION <br />BUILD"R '.A.'^l5'~. ~.L( <Hie Company <br />01/- State Cert. or Regist. # <br />Signature ~' . ~ City License Registration 4F <br />****************************************** <br />AA"J- (I (/ -) '-JC.... j' . <br />ELECTRICTAN 11~l\.h)'. (,.... ee/,-' 6 <br /> <br />'I {l ll~ C.u:;, <br />Sil?:nature l, -l " <br />( <br /> <br />I' <br /> <br />Company H t .,(1 v' J <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br />6/ce T L.'C:~.."J- <br />6 l>{ ~ t9.:J, I " <br />4~ ,-/1 <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. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br /> <br />Signature <br /> <br />Registration 4F <br />/- <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />.:-' <br /> <br />,': <br />