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<br />.~._--,."-------- ~----_.,_._"-- - --- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />m('cha~ / ;:;K-L <br />Po. Box 5S~ <br />OWNER 1< fA. T~ W (70 1 C/e r T 0)'\ <br />JOB LOCATION S3 :J l( /9 TI, -;r LOT SIZE'-:"'-X AREA SQ. FT. <br />€AL DESCRlPTlON;jLOT (S) tJ~ Us /0" / / BLOCK /75 SUBDIVISION C -t '7 d Lp<Y".I./ If <br />GRCEL I~t.'>Zc t,~ 1/ ~1.(1f;2'- ;f;.I--C<?;:L/ '00/, () F:::::O.<J/CJ.O <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~le Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />_4F 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 />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />~ERMTTS REOUESTED <br /> <br />~LDING <br /> <br />$ <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 />____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 />~ CONTRACTQR SE:T~ I ,/ <br />B\lTIJjER NN eu. ,. _ uo Company '/tCf1dd F:,,< ('u- <7.. <br />cr-.;., State Cert. or Regis t. iF R R 00'7';;93/ <br />Signatur City License Registration iF d7 <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />El.ECTRIC-TAN <br /> <br />Signature <br /> <br />- <br /> <br />Company <br />State Cert. or Regist. 6 <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 />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ;'f <br /> <br />APPLICATION APPROVED BY <br /> <br />*l1.*******************~*****~~~~~~~~~~*~~~ <br />~ . . . ^ ., ~.. ,. .. .. .. .. .. .... ^.... <br /> <br />. tf A1..r -3 L1 tJ/7 A'i/r) .. <br /> <br />PERl'lIT OFFICER. <br />