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<br />APPLICANT <br /> <br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />C (; ]v <p V) \?~" ~l <br />f:'_,--7 ;2 IlL ((' <br />tuJ1L't HircLe77 <br /> <br />. <br /> <br />JOB LOCATION '"J 7<:1;1. Y 13 riD Ge ' <br />LEGAL DESCRIPTION: LOT (s) D'1'J Y 01 A-/'Y BLOCK <br /> <br /> <br />-r <br /> <br />-j) <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />7~; .1.-0 c.'j <br /> <br />OWNER <br /> <br />" <br /> <br />LOT SIZE<~-J X 90 AREA SQ. FT. <br />SUBDIVISION I..A) / .,IV? '(?,",A>.J) <br /> <br />PARCEL I.D.~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <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 />_~~ 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 />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />9t7?U7> <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 _Frame ____Steel <br /> <br />.Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />/CJ <br />, <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si!Znature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />'PLlJMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY ~~.~.~.:......~.**.***..***' PERMIT OFFICER. <br />