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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT J,fl(1,~ rr> ~ A1 fO.AJ' 5 S <br />ADDRESS \1'/ '{ f? & rc;:. ..{n /.-'/1,4// p' b<' ,# <br />OWNER "/..VO,),re S 'A/'~~ c '" <br />JOB LOCATION v/ , \/"/ AA -p <br /> <br />PHONE ,?~>J- 003.3 <br /> <br />" <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I. D . ~~ Y.... <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~epair <br /> <br />____Ins tall <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <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 Units <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 FORtIS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~F.RMTTS REOtJESTED <br /> <br />t//BUILDING <br /> <br />$ ~ 0(; . crD <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 <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR SF.CTION <br />Company <br />State Cert. or Regist. ~ <br />City License Registration ~ <br />****************************************** <br /> <br />J3U1LDER <br /> <br />Sil:mature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration D <br />****************************************** <br /> <br />f,T.ECTRTCT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />****************************************** <br /> <br />PLUMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />PTHER ~~~ I' to (' At c.:' /0 C <; <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />