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<br />APPLICATION FOR PERl"lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT () V I LA <br />ADDRESS ....!?-fo:J "- <br />OWNER 0 V I L A <br /> <br />f'. L ESP 'Cf( A A/ c r ' <br />c y Ire E S S Sf <br /> <br />, <br /> <br />/. L6.5' f/t=-R A IV C E <br /> <br />PHONE <br /> <br />7ff;Z <br /> <br /><7..j-(}" DL <br /> <br />JOB LOCATION S{, J '" <br /> <br />c y ~tfc:;5 <br />r <br /> <br />ST <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 I. D. ~~ <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration ____Repair ____Install <br /> <br />_Sign/Temp, <br />PROPOSED USE: ~. Single Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim.. poo 1 <br /> <br />,._M/H <br />~t.-~:' Other <br />f/ <br /> <br />_M/F <br /> <br />_t~ of Uni ts <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) SET ENERGY FOIlilS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOUESTED <br /> <br />_BUILDING <br /> <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 />LL:..PLUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.#- . <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert, or Regist. iF_ <br />City License Registration if <br />****************************************** <br /> <br />BPTLDER <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration if <br />****************************************** <br /> <br />f,T.Er:TRTCT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 11 <br />City License Registration ji ;?j -S & y <br />******************************* <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. if <br />Cicy License Registration ~ <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. if <br />City ~cense Registration !~ <br /> <br />OTHER () Y L LA ^ ( Z I'" E A. A ,v c F <br /> <br />Signature d..:d ~4,;;wr/~ <br /> <br />*~'it:r-~* <br />~:. <br />APPLICATION APPROVED BY {"f <br /> <br />/" <br /> <br />PERMIT OFFICER. <br /> <br />'. <br />