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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br />5b-l-S~o <br /> <br />OWNER ~ \l- <br /> <br />JOB LOCATION 53'2..-L(8~ S <br /> <br />, 1 BLOC~SUBDIVISION <br />'2\-'Ll:,-\\ -OOl.D <br /> <br />WORK PROPOSED:____New Construction <br /> <br />AREA SQ. FT. <br /> <br />~I 'D. ~Y <br />_ \ -"1 Y - DC - 0 I ., , 0 <br /> <br />----Addition ~teration ~Repair ____Install <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. ~F <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 />_~~ 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 FORtIS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REQUESTED <br /> <br />~BUILDING <br /> <br />. rID <br />$ fa ~ 00 D /" <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 />_PLUMBH1G <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 /> <br />CONTRACTOR SECTT~ ' .. - ') <br />Company ?\V~,1.. CC:;~ ~\ fAJc....\l ~ <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />Company S're ( \.'0- \;\ ~ \ '(J {1 +... s. p v <br />State Cert. or Regist. IF ()-:J':,~7'f <br />City License Registration il ,) <br />********************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ii ft t=' ~ LIt ~ ~.3' <br />'# City License Registration il If ~ ~ <br />****************************************** <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. 0 <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERNIT OFFICER. <br /> <br />';J",N)J;'L,l~A;ION APPROVED BY <br />-4....~, +\''<\.~~~.';'1 ,;' \. ,'" ~~",,~~,:,- <br />... "'1' <br /> <br />_"~ ,,:Of:',... ',..',J 'iI~.. r l.~S <br />',." ~ J' . ~ -, ~~~': I ';..it'.t......fl, .~. ,... <br /> <br />,) " <br />