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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT /,. l. P;J ./ f} R..~ <br /> <br />::::55 ~~:O ~ D~!:~ <br /> <br />JOB LOCATION '2 l.(/J ~ r hi '{ & <br />LEGAL DESCRIPTION: LOT (S) 7, ~ " ,IJ <br />'B ()Pk.. I fI1/ p~ O{; '1-1- <br /> <br />PHONE <br /> <br />f//J '- 7 Y2. -/ )t/o <br /> <br />KCtll"r <br /> <br />LOT SIZE_X <br />BLOCK ~c> SUBDIVISION <br /> <br />AREA SQ.FT, <br /> <br />PARCEL I.D.4F <br /> <br />-A-Repair _Install <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />..-L-# 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 FORMS.** <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 />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />.' <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 SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SiQIlature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER ~ / Company 1ft / (i'<o. <J Tf(. L S. t.J <br />L 7117 /) H /J _ State Cert. or Regist, 4F C AC. 0 3.,r'l cjL. <br />5 ignature - ".Jn1 g-7\...iv v ~ Ci ty License Regis tra Cion iI <br /> <br />"~~L:~""""""':~"*""""* <br />APPLICATION APPROVED BY ~~' PERMIT OFFICER. <br />