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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />fl-7Kv~S 0fZ()U~ HQM~ <br />.3 g- g- .~ 0, S-l-"/' J1/J IL <br />CH I P fl-IK I~~ <br />3'8f5"3 ., .t--,t-t{ 11 Ve. <br /> <br />7Y'tf'- $) If ~- <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SlZE_X <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />/1), f.o2 \ <br />PARCEL I.D.j~ 00 J 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />ILf~OO <br /> <br />~ 00 70 <br />~lteration <br /> <br />_Repair <br /> <br />JIns tall <br /> <br />WORK PROPOSED:_New Construction ____Addition <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____i~ of Uni ts <br /> <br />,.____M/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />Ef.RM1TS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />____ELECTRICAL <br />-p-MECHANICAL <br />____PLUMBING <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />2370 <br /> <br />o~ <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />Il*************,**************************** - / <br />n ) ~ONTRACTPR ~ECTTON bt/:b1 <br />IJL~ Company L rr- <br />, State Cert. or Regist. ~ <br />city License Registration 1 <br /> <br />Il j lJ....... .......:::::::......... ,,,' ,"",,"",' N ft <br /> <br />y . <br />State Cert. or Regist. 6 <br />City License Registration 6 <br /> <br />~................:::::::.......**...*..*" ~~ <br /> <br />v . ~ <br />State Cert. or Regist. ~ <br />City License Registration 6 <br />****************************************** <br /> <br />illl1T.DER <br /> <br />~ <br /> <br />f,T.ECTR1C1AN <br /> <br />::::::':re <br /> <br />Signature <br /> <br />MECHANICAl'''LiEfL-vt- ~Company 8,,>>100J.502 'L <br />~T /l State Cert. or Regist. 41 ~ 9 <br />Signature " ~ CitY License Registration 'I J 7 <br />****************'******* -I< id, '* -I< -I<i, -{, * .:, * * * *,,:* * -{, i" <br /> <br />(//n <br /> <br />~ <br /> <br />Company <br /> <br />fL/F <br /> <br />State Cert. or Regist. 6. <br />City License Registration ~ <br /> <br />QTHER <br /> <br />Signature <br /> <br />.~*..*......~,......**..*.**.*..**..*.*, <br /> <br />:::;z?a-~v'~ ><1 o/V,~"- '", ,"1- <br />" vd<'. <br />. .<l :~i ,r,~.Gd."...:) tit <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />