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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br /> <br />- <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />:75-lvJrfD <br /> <br />Cf. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~~- <br />~ J <br /> <br />BLOCK <br /> <br />(I} ~,y ,.} /\..... <br /> <br />PARCEL 1. D. iF <br /> <br />WORK PROPOSED: ~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. _Sign ____Move ____Demolish <br />PROPOSED USE: ~~-ngle Family ____M/F ____iF of Units _____M/H <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Resta~rant & pealth DeP.artmentAPproval <br />5(-,- fl.i-J~{...( t.e IV,\ '\ (" j / <br />BUILDING SIZE: x, /ovU'-.JC\..t'<t",Square Feet, <br />, <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 FOllilS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS 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 />/~-l.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMB I N'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />'" <br /> <br />Company Cv?l~lJU;Z~t:.-~'Y ~?..-~'-t:.-C:~ <br />State Cert. or Regist. iF (.JOI,~/t/ <br />City License Registration IF 1{) <br />****************************************** <br /> <br />Signature <br /> <br />ClkaLf <br /> <br /> <br />p-~ .Q ,Fi/~ City License Registration <br />****************************************** <br /> <br /> <br /> <br />PLUMBER <br /> <br /> <br />/' IJ ~. /1 '/ . <br />Company (f/j(j( t,(i/-'-..i r {:0//dIT/OIJ//7<:;:j <br />State Cert. or Regist. {.! ;;/)100199:] 7- c:/ <br />City License Registration # . /q <br />. . <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />