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<br />- <br /> <br />r <br /> <br />1 <br /> <br />APPLICATION F6~ PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />;('N~;>/C~Ir~ <br />'} :; .~ ,;2.. F", ~lVy <br />R/ c- j~ C/,o~i/)V <br />//'-<s";" <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />"7 g .;< - .,<..3 CJ-CJ <br /> <br />OWNER <br /> <br />S't 'f 7 <br /> <br />LOT SIZE 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 />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 /> <br />~/F <br /> <br />_~~ 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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br />;< '3 s-z> _ en) <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BtJ1LDER <br /> <br />Signature <br /> <br /> <br />Company r:',e 5 T (d ~-; #jf <br />s~ate ?ert. or R~gist. . ~{ E~S f'E; '7 <br />Clty Llcense Reglstratlon # <br />,~*************************** <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Company to,. ':t; C~i-. ~~~/C <br /> <br />State Cert. or Re st. ~fr /(AjJ.. e<it:J/(') . <br />Ci ty License Regis tration lfr ? / <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************ <br />A 4 . - . t2 A ...........:J' <br /> <br />PERMIT OFFICER. <br /> <br />.. .~'-..., <br />