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<br />APPLICATION FOR PERttIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />), \(1) (l)C-T ~ <br />OWNER m (?S" :z J /f J< F1 /..OS <br />I <br /> <br />~!+rnG- <br /> <br />APPLICANT <br /> <br />~ <~O I <br /> <br />PHONE 7? J> ,-.3 I g g <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />X 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 f(-Addition ____Alteration ____Repair *Install <br /> ____Sign/Temp. _Sign _Nove _Demolish <br />PROPOSED USE: ____Single Family _M/F _~~ of Units ' ,____M / H <br /> ____Commercial _Indust. ____Swim. Pool Other <br /> <br />d <br /> <br />C) 0 - (J.-/ - ~~. - 0 <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: J.~ X / () , <br />I I <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 F01U'lS. ** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-X-BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />/8.50 <br /> <br />. <br /> <br />Valuation of Total Construction <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 />_PLUMBING <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 />CONTR~~~~~n~E~ LV ;f~~ C~~ I <br /> <br />State Cert, or Regist. U <br />Ci ty License Regis tra t ion ~~ c:l~"" Lj <br />****************************************** <br /> <br />BUTLDER <br />Signature #~h.e W~A-<J <br /> <br />Sionature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration D <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration ff <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />:11 dl'.A}1 .yi/-"/Ldl~T , <br /> <br />PERMIT OFFICER. <br />