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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ <br />I~\ \ <br /> <br />r--"r II ((I ,~ ,:)/ ~ <br /> <br />.......----.-' .- <br /> <br />APPLICANT t\ - \.P . f\ \ l) \{Y"'> \ f\ 0 f'V' <br />ADDRESS :3<1, (/30 S. rQ (/~ ~ <br />OWNER ~De.. S ~ e 30-\ <br />JOB LOCATION (s; 0 / () hi () ('(' d' t.. f -c <br /> <br />S e 01'\ C/te t-e.- ' <br />2.- N " /Is <br /> <br />-------~ <br /> <br />PHONE <br /> <br />:jcgrg. -30C-JY <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.4~ <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />c <br /> <br />_Sign/Temp. <br /> <br />_Sign ____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />----M/F _# of Units <br /> <br />~/H <br /> <br />_Commercial <br /> <br />~Indust. . _Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: <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 REQUESTED <br /> <br />- <br />_BUILDING <br /> <br />$ <br /> <br />9oo.o() <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 />_PLUMBIffG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company 14-\.-L). -A h'Jvn,'VlLU'Y" d tOn0..-rei:.J:.. <br />State Cert. or Regist. 4~ RX(y::)49(g~ 7 <br />City License Registration # r <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRTCTAN <br /> <br />Company Il/ 0)1 ..e.- <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sillnature <br /> <br />Company f1/ c!J h --t-- <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <br /> <br />Company () () h ...e _ <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signa t_ure <br /> <br />Company (\ 0 11\ ~ <br />State Cert. or Regist. # <br />City License Registration # _ <br /> <br />~ <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />J1 <t...,v (7 .>$I L";.."Cb l , <br /> <br />PERMIT OFFICER. <br />