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<br />APPLICATION FOR PEIDnT <br />CITY OF ZEPHYRHILLS <br /> <br />APPLICANT _M\Q OIN~~NG DEPARTNENT <br /> <br />ADDRESS 'I ~ ( 0 (b c2CGJ,C'6lo.pG-bQ <br />OWNERC)~~ ~~ ' <br />JOB LOCATION ~e. LOT SIZE <br /> <br />PHONE <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. ~~ <br /> <br />-=5 c.(. ., ~ S - '2...\ <br /> <br />00\0....00(00-001'0 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />,,:,,-M/F <br /> <br />___A of Units <br /> <br />,._l'l/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.;d: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/' <br />_BUILDING <br /> <br />:pF.RMTTS REOUESTED <br />n I COO <br />c::... 0...., - Valuation of Total Construction <br /> <br />$ <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 />0'" . <br /> <br />_PLUMBING <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 /> <br />****************************************** <br /> <br />CONTRACTOR SF.CTI~ I~~{) <br />. Company ~ <br />. State Cert. or Rcgist. # <br />City License Registration a <br />********************************** <br /> <br />(k~Cb · <br /> <br />SiO'nature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Rcgistration # <br />****************************************** <br /> <br />, PUJMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regis t. 11_____ <br />City License Registration 1 <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />ft <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration iF- <br /> <br />APPLICATION APPROVED BY <br /> <br />'~'j~~'~~*'******"*** <br /> <br />I <br /> <br />PERtlIT OFFICER. <br />