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<br />.-..... <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />/~:''11 e C/11fC-. c::.. <br />c,:2. ~O /l/17;! <br />OWNER Les7e~ d h'/ JelJ e (C:/..) 1 e (?J <br />/ . <br />JOB LOCATION de BJ,"!;jJ 4tX II u <br /> <br />LEGAL DESCRIP ION: LOT(S) <br /> <br />/ It.; t)U ~ l'-{ -e.j II..:J C <br />A u <-- ~ /-e';J~A reA-- r<-PHONE <br />, <br /> <br />'^S-39-C!~r3'7 <br /> <br />APPLICANT <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />WORK PROPOSED:_New Construction ____Addition ____Alteration _Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: '~ingle Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />_Swim, Pool <br /> <br />_____M / H <br />~e ~ ,~;:.. <br /> <br />Other <br /> <br />_M/F <br /> <br />____t~ of Uni ts <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SIZE: 1-'1 d, <br /> <br />\ .., 4::J ('), <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 />$ <br /> <br />:Lf~~ &y <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <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 />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION. /' /. .' ,= <br />Company /"'7'/'1?i'U;t-/ b -c? <br />State Cert. or Regist, 4F (-:'-ccY/,/3/<!. <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. ff <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />