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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT PIJ.sCO F6/Vee: Co <br />ADDRESS ~-f/ ~,,(/,/2-, &/,' 2 '/////J <br />OWNER /'Ill, jJt!/"~ ~~)./V~,L <br />JOB LOCATION .39~V.2 9~// ~I/~ <br /> <br />PHONE <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />PARCEL 1. D .1~ <br /> <br />____sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />.____M / H <br />Fctt/ ttC' Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____1~ of lIni ts <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 FORllS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PRRMITS REOUESTED <br /> <br />-.JLBUILDING <br /> <br />$ 4/)~. 0 0 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />___Florida Po\\'er Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBIN'G <br /> <br />.... <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company fJA~co ,cc~C~ (!,CI , <br />State Cert. or Regist. !~ <br />City License Regis tra tion it /9.;2, sfJ.e C' J <br />****************************************** <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />~*******~*:************************ <br />7A1.f1Aq //I~'0:r <br /> <br />~ . ~ <br /> <br />PERMIT OFFICER. <br />