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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~ 51 :;()!'t"pl <br />33?O~S-U. 'A-v~. <br />etA t ~ p I, r . G h IIY (; L <br />Rc~i ov y 0 ff/ (, e. <br /> <br />Cf11h 0 L G <br /> <br />ctu~~l <br /> <br />PHONE . 7 J;).. - ;).. j /3 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br />WORK PROPOSED:____New Construction ____Addition ~lteration ~Repair ____Install <br /> <br />____sign/Temp. <br /> <br />____Sign <br /> <br />_Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____~~ of Uni ts <br /> <br />_____M I H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING $IZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY F0R11S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />41J <1 J2Q <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 /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BlJTLDER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER ~ <br /> <br />Signature <br /> <br />w.~~ <br /> <br />Company . L",Y'YY Cr ree"" '~ Uc..{.,O <br />State Cert. or Regist. IF /-.5 IJ751J'f <br />City License Regis trati?n IF 3 r7 <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />lA /{ d 1 }l!,iy <br />- I , <br /> <br />PERNIT OFFICER. <br /> <br />~ <br />