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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANTxi.v--j-9 ;?6, - 'l~~ <br />ADDRESS ~~~~"'~_ z.,~ ./;)~ ~ PHONE ~~7--'7.$C/CJ <br />OWNER #~ r:'.~~- <br />JOB ~T10N ~7'< ~A'~ LOT SIZE X AREA SQ.FT. <br />LEGAL DES~ION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.~F II - 9ft, -d-./- (;70/0- / b ?"l)otl'--oo/ CJ <br /> <br />WORK PROPOSED:____New Construction ----Addition ~lteration _Repair ____Install <br /> <br />____sign/Temp. <br /> <br />_Sign <br /> <br />_I-love <br /> <br />____Demolish <br /> <br />/ <br />/ <br />PROPOSED USE: ____Single F~ilY _M/F _~~ of Units <br />/ <br />~omm~ial _Indust. ____Swim. Pool <br /> <br />~aurant & Health Department Approval <br /> <br />,_~l/ II <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMl'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/~ <br /> <br />PERMITS REQUESTED <br /> <br />./ <br />/BUILDING <br /> <br />. ____ELECTRICAL <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_H.R.E.C. <br /> <br />$ ~ dt7tf) . U'O <br />./ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtJMB IN"G <br /> <br />GAS <br />~lock <br /> <br />ROOFING <br /> <br />SFECIA~GT~ <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_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. 0 <br />City License Registration i~ <br />****************************************** <br /> <br />IWILDER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration i~ <br />****************************************** <br /> <br />ET.ECTRTCT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration it <br />****************************************** <br /> <br />PLUMBER <br /> <br />MCCUANICAL Company >I..-~~;5:. Y;;.L- ~~~ <br />d;~ St~tc Cert. or R ">st. i~ /8"7 <br />Signature "r' ~ ../ " City License Registration it <br />/" ~ * * * * J. J. * * J, * * * ~ * * * * ... ~ * * J. * * ,', ", J, J, ,', ,'. J. .'. ,C ~ ~ J. .C J. J. .'. J. <br />'^ n...... ... ........ n .... . ,. l' .. .. .. .. " .. .. .. ., .. .. .. " <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />****************************************** <br /> <br />PERHIT OFFICER. <br /> <br />APPLICATION APPROVED BY. <br />