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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~e5 :f. ~ 71 ~ <br />ADDRESS __~ s;, 7:H __ <br />-..70 hA) -r: t.J CLA-4 k' <br />JOB LOCATION S7/'I IO~ Sf. <br />LEGAL DESCRIPTION: LOT(S) 17 -- ~ <br />PARCEL I.D.# //-;l- ~ - ;t I - oc) 10 - O~b6LJ - <br /> <br />PHONE <br /> <br />70 cf- s-c. 7 - 0303 <br />. <br /> <br />OWNER <br /> <br />CT,(! , <br /> <br />'. <br /> <br />LOT SIZE /;LO X 13.5 AREA <br />3t:. SUBDIVISION <br /> <br />SQ.FT. <br /> <br />BLOCK <br /> <br />170 <br /> <br />_Sign/Temp. <br /> <br />____Addition _Alteration <br />____Sign Sc>f',c,";.. f ~ <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <br /> <br />_I~ of Uni ts <br /> <br />,__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim.. Poo 1 <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 FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ ~-5l2?, &,.E <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 /> <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 ____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER J /JlJfcS <br />Signa~ <br /> <br />ET.ECTRTCT AN <br /> <br />/2 <br />e. <br /> <br />~' CONTRACTOR SECIION <br />~ Ai Company /-lYE ~f.t..U'4~A.Iu..A/{ <br />. State Cert. or Regist. # <br />~ City License Registration IF 7' <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <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. l.!___ <br />City License Registration ff .- <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br /> <br />------"" <br /> <br />OTHER <br /> <br />Signature <br /> <br />.. ..... '. ***************.*y*t:J**.**.*. *....*. .*..***;:-1'.-::-1:***-1:***** <br /> <br />APP1\If.'I~~:,1(1: -/,1", fi'-A11'~~~~ " . <br /> <br /> <br />. ..-..',(..110 t" ....,' <br /> <br />PERMIT OFFICER. <br /> <br />\..J,j <br /> <br />.,;> <br /> <br />.. <br />