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<br />po <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~U)50 IJ \<E.rlrlE..-\-\1.. <br />ADDRESS S-S' ~~ ll~ S-teee.:f <br />OWNER t4'Ci1"aPSoIJ, t<e.t'\.t'\6H\ M.. <br /> <br />"V\A <br /> <br />PHONE l~l z,fn1 <br /> <br />JOB LOCATION~~~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />A-t'- "3t3~ LOT SIZE_X <br />13 I ,4 BLOCK lc4- SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4~ 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: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. ** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REQUESTED <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_BUILDING <br />~ELECTRICAL <br />...LMECHANICAL <br /> <br />$ <br /> <br />$ 4443,11 <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN"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 />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration 4: <br /> <br /> <br />:::::::::~~~*.*********~~~~;:~~~~~~~ <br /> <br /> <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration # _ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAl Company ~v+~t ~ < <br /> <br />~ State Cert. or Regist. II <br /> <br />Signature City License Registration iF _ <br />",****J.J.**J_** ******.........*J. * * .'. .',', J, J...... .'.......... J..' J. J... J. <br />.... . _. .~.... ,.. ........ ~~ ... ... 71 11 .. .... .. .. .. .. .. .. n .. .. .. .. <br /> <br />OTHER <br /> <br /> <br />Signature <br /> <br />IF <br /> <br />APPLICATION APPROVED BY <br /> <br />PERNIT OFFICER. <br /> <br />\'" <br />