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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Mr("nnnpll ("nnRtrnrtinn f'n Tnr <br /> <br />ADDRESS <br /> <br />77471 SR ~4 WPRlpy f'n~ppl Fl - ~~~4~ <br /> <br />PHONE Rl ~_q7-~_4q77 <br /> <br />OWNER <br /> <br />~ilvpr n;:lkR ~nlf ;:Inn f'nnntry f'1nn Tnr <br /> <br />JOB LOCATION ~hR4 1 f'111nnnllRP Dr <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION Si 1 ver Oaks <br /> <br />PARCEL I.D.~F .3 - (;l 6 ~ ;;Z / --, ) rl - 0 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />X-Demolish <br />__M/H <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />____~F of Uni ts <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 FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PRRMTTS REOUESTED <br /> <br />____BUILDING <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 Installa.tion <br /> <br />.~ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />Const. Co. Inc. Company <br />State Cert. or Regist. jF CBC037941 <br />City License Registration IF ;) 7 P' <br />****************************************** <br /> <br />Sil?:nature <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration IF <br />****************************************** <br /> <br />f,LECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration IF <br />****************************************** <br /> <br />fLlTMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 1/ <br />****************************************** <br /> <br />~ECHANICA1. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />