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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />;(;~,.~, c~.J2;/~ If/C <br />{ I' ~ ....-z!!iJ ~;<;z. I-;r ; ~ <br />}-.if '3 J ~ ~ ======. tf PHONE <br />J (.L IV JL E j.ad! $.0.P <br /> <br />7 t3~7-1&~ F3 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION '3235 S--o c{-- 4<.0/ >- <br />II ;ZG. ,;?I &010 <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />LOT SIZE_____X AREA SQ. FT. <br />/350D O~/5 <br />SUBDIVISION <br /> <br />PARCEL I.D.4F <br /> <br />WORK PROPOSED:____New Construction ~ddition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____~F of Units <br /> <br />__M/H <br /> <br />____commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY, FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMITS REOUF.STED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br />/q?O_CfO <br />. <br /> <br />Florida Power Corp. <br /> <br />_____W.R.E.C. <br /> <br />/ <br />..LMECHANICAL <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 <br /> <br />_Frame ____Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR 0ECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />nmLDER <br /> <br />Sil?:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <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 Il..&;;'<r, rp_,,L~ ~ ~ -!pc <br />State Ccrt. or Re ist. ~i f?. N OO<>tbd~f? <br />City License Registration # 71 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br />APPLICATION APPROVED BY /'/ lL"~~-C'~ . ->&--eA~ PERNIT OFFICER. <br />