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<br />. ...",.:'..:.::;;".,..,.....-----; <br /> <br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OJ#// <br /> <br />1,( lJ k€c. /,~~('b;"-a. <br />W,'~l~l"j~ ,pr " ve <br />~//SI/'~ Kv kE'c <br /> <br />M5Ie//2)'" LOT SIZE <br /> <br />PHONE <br /> <br />7cf;<-//3~ <br /> <br />ADDRESS <br />OWNER L~ t/ 15 <br /> <br />Lou;:s <br />4,;z;< <br /> <br />APPLICANT <br /> <br />JOB LOCATION <br /> <br />4~.;Z~ <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~F <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ Single Family <br /> <br />____Sign <br /> <br />_l'love <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />____~F of lIni ts <br /> <br />, .____M / H <br /> <br />____Commercial <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 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 FORtIS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />}'F.RMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />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. # <br />City License Registration U <br />****************************************** <br /> <br />j3lJILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration U <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration U <br />****************************************** <br /> <br />PUJMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Ow <br /> <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration # <br /> <br />Signature <br /> <br />~j(A ~.e/~r <br />APPLICATION APPROVED <br /> <br />PERMIT OFFICER. <br />