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<br />n- <br /> <br />- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~\ ~C'~(JJYJ(' C~....~~iN'-- <br />~_ i.1t~ q~- ~d.t(2~ ;:f/~ONE lqvti) <br />OWNER ~O..sA.. C() \ \0.('\ , <br />JOB LOCATION h\.R l<1 q~ St. <br /> <br />ADDRESS <br /> <br />8~a <br /> <br />LJJJ I ~ gSg'D <br /> <br />2J.l. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <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 />____# 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 />~UILDING <br /> <br />$ /b c;rv. u~ <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 />____PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />~ROOFING SPECIALTY <br />____Frame ____Steel Other <br /> <br />____MECHANICAL $ <br /> <br />.#- . <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />****************************************** <br /> <br />CONTRACTO& SRCTTQN~~ ()~ l. <br />Company (' ~ c.'f-1iJv"... <br />State Cert. or Regis . # <br />City License Registration jfr. -$12... <br />****************************************** <br /> <br />r <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration H <br />****************************************** <br /> <br />PLlIMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. jfr___ <br />City License Registration 4fr - <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 />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />