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<br />r <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />- <br /> <br /> <br />APPLICANT ~ 'e ~ a F c.-( <br />.3 egG" 3 3 <br /> <br />OWNER If; Gh a. y-d ;-/ tL (/(} e C c <br /> <br />JOB LOCATION :3 '5(6- 33 8"'f~. 4~c::. <br /> <br />..~~~~ <br /> <br />PHONE '7 g;;; - 1.;2 ~ r <br />~ ///;:1, h .'JL. a Hu 00 .-1__ ~ [,. <br />y , I' I' <br />LOT SIZE~X IJ-O AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~:;.,~_.,.._~~. <br /> <br />(i''''PA~CEL I.D.lF~"'i "I-.J:.~- :Sj- 00/ o-/~ d~l!J -CJ /l.j- <br />,./ <br /> <br />WORK PROPOSED:~New Constru~tion _Addition _Alteration _Repair _Install <br /> _Sign/Temp, _Sign _t-love _Demolish <br />PROPOSED USE: _Single Family _M/F -~~ of Units ._M/H <br /> _Commercial _Indust. _Swim, Pool 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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PRRMITS REQUESTED <br /> <br />[) e ~BUILDING <br /> <br />$ <br /> <br />) :JL9 Q.:E <br />( <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W.R,E,C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBUfG <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 />CONTRACTOR SRCTION <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLtJMRER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />********************************~********* <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br />IF <br /> <br />APPLICATION APPROVED BY <br /> <br />PER1'IIT OFFICER, <br />