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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~.", 0-J" <br /> <br />ADDRESS 35Ll3C) <br /> <br />OWNER ~en1\o <br /> <br />JOB LOCATION ~ctLP~~ <br /> <br />A\ Un) (On U-hJ (t <br />~L)~ M-e <br />~eh~ <br />rf7er1dtJU-md L.!!-eT' SIZE_X <br /> <br />CJJheJre+e <br />PHONE 1 A6- 'CJ:J-/ Lf <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT (S) ~? 'I <br />/3-,;).6 -d.-I- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I,D.~~ <br /> <br />WORK PROPOSED:____New Construction ~ddition -^lteration ____Repair ____Install <br /> c <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _JI/F _4~ of Units .-M/H <br /> _Commercial --'::"-Indust, _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t , <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) SEJ ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED, ' <br /> <br />PF.RMITS REQUESTED <br /> <br />, ./ <br />",::::,-BUILDING <br /> <br />$ <br /> <br />") )"', 2'" \' <br />.... ,:> ~,~;.. (, l. . <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 />_PLUMBIN'G <br /> <br />... <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 />BUILDER Company \r\. W <br />State Cert. or Regist. # <br />Signature City License Registration <br />****************************************** <br /> <br />Rr.RCTBIC~AN.(l.A~j! ~~ ' Company <br />State Cert. or Regist. # <br />Si2nature City License Registration # <br />****************************************** <br /> <br /> <br />/ /_~ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <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 />APPLICATION APPROVED BY <br /> <br />****************************************** <br />'"11 rP MA' ~~-1...>?/ .Q~')/l..J <br />, d ' <br /> <br />PERMIT OFFICER. <br />