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<br />I . <br /> <br />OWNER <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />. f) BUILDING DEPARTMENT <br /> <br />X~ .(!~ <br />~ <br />(!6J7~ <br />-- 2'-;7,i~ <br /> <br />7f?2~Ct?/1 <br />, <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION h ~~ <br />,. <br />.",.- <br />LEGAL DE5~lPTION: LOT(S) <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,4t //--2.b-2-I-t;b/O -t5~7()C> -Ii/3D <br /> <br />... <br /> <br />~~i-tW-/~~ <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~epai~ ~Install of <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Move. _Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />--YI/F <br /> <br />_# of Units ____M/H <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_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: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQ~ED. <br /> <br />PRRMITS REOUESTED <br /> <br />_BUILDING <br />....A-ELECTRICAL <br />A....MECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br />$ q/,( IP I f?- 5"- Valuation of Mechanical Installation <br /> <br />W.R,E.C. <br /> <br />_PLUMBIN"G <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />[1\ /J ******~*:J(******************* *********** <br /> <br />1 ~1 fV'-./7 -I ~~ I Company 4- <br />. State Cert. or R 'ist, # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCTAN <br /> <br /> <br />Sillnature <br /> <br />MECHANICAL <br /> <br />fLJS <br /> <br />Company <br />I State Cert, or Regist, # <br />City License Registration # <br />. ..........r................l.......~..~. '. ' <br /> <br />~ 7 ~ Company. ~4'{t.':) .~~ <br />State Cert. or Reg' t, # <br />City License Regiscration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />***t**f*~*~****~*~f~1**~************ <br />APPLICATION APPROVED BY LA-/~~____~. <br /> <br />" <br /> <br />PERMIT OFFICER. <br />