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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT !); CJ ~ / S; /-t h <br />ADDRESS j fst 99 ' ss/ E PHONt fl. i' ') ;7.5:2" V f'C)? <br /> <br />OWNER (/~-LG': S,Z:,i:,6 <br />JOB LOCATI~. .. 1',,".A,.f ()~1 JIJz'We LOT SIZE_X. AREA SQ.FT. /J <br />LEGAL DESCRIPTION: LOT(S) (J 6> ,{ 0 BLOCK{)(mn SUBDIVISION,? "'/' hr~ ;/,Y, ~/~"7 (;0. <br />\, PARCEL 1. D. ~~ 0;;< ~ ,;) <:,.. -.;;2 I -- 60/ r:.;) ~ CJ C:- a 00 - 00 / d <br />V / <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 />~ercial <br /> <br />_M/F <br /> <br />____~~ of Uni ts <br /> <br />_M/H <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 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 FORMS.~'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOUESTED <br /> <br />Valuation ~otal Construction <br /> <br />Service ~Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. n <br />City License Registration # <br />****************************************** <br /> <br />~lJ1T.DER <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />************************************** <br /> <br />/~~' <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PUTMRER <br /> <br />Signature <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 />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />