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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ;j('/tj 1<117 /7tfr <br />ADDRESS .5:), -r- ,-;;; r-~. S- ~'. PHONE 7.>(:' <br />OWNER 2?~,tnp~ c,i-~~~J ~~' <br />Jon LOCA nON -_ - - ," ~ t __ _ r . . LOi: SIZE $' Q x <'I 'IC ,\REA <br />LEGAL DESCRIPTION: BLOCKl~~~~SUBDIVISION <br /> <br />Lj~' 1.3 <br /> <br />SQ. FT. <br /> <br />PARCEL 1. D. ~~ <br /> <br /> <br />,?-VOObGC) <br /> <br />WORK PROPOSED:____New Construction ____Addition ~lteration ~Repair ____Install <br /> <br />____sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />*commercial <br /> <br />____M/F <br /> <br />_# of Units <br /> <br />__1'1/H <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br />7.~. I,X 3(.~S- . / <br />BUILDING SIZE: \ (p. 11 X 'i ? tA.. ~ ~. 0 t Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />:PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />?'lo.u-o <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 />_PLlJMBIN"G <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />.1( ROOFING <br /> <br />SPECIALTY <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration t~ <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTC1AN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <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 />.Cit~' License Registration 4~ <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Ce,t. or Regist. 0 <br />City License Registrati6n # <br /> <br />. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />_ -n '" ~~ ~ P!u>)...- <br /> <br />PERl'lIT OFFICER. <br />