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<br />APPL'ICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEP^RT~1ENT <br /> <br />OWNER <br /> <br />/! A /(1(, <br />i.jy tiS' <br />1.A y'O~A <br /> <br />(()J'V~~' t, 'cr ..r 0....... <br />A/ A6J:;II'Po'" ~7/'I <br />PI (J: NPJId <br /> <br />j~~ftnoNE ~ 76 -oeJR' <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />" <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 1.D.~~ 00\ -A. - Ooff'oeJ - ODII <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. _Sign ____Hove ____Demolish <br />PROPOSED USE: lSingle Family ~M/F ____f~ of Units ,.____H/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. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />J--BUILDING <br />____ELECTRICAL <br /> <br />:PERMITS REOUESTED <br />/;; (JIJ... Ct) Valuation of Total Construction <br /> <br />$ <br /> <br />AMP Service Florida Power Corp. <br /> <br />_H.R.E.G. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />. <br />____PLUMBING <br /> <br />.... . <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />A 11;(" (II^,-, 1= r;ONTRACTOR SECTIO~~ <br />BUILDER ' Company L1-"~< <br />/ /1/ State Cert. or Regist. ii ( h- - fT QI 0 Ii- '1 t <br />Signature f' ,,- , /J'-- ' ' City License Regi~tratinn ii J U <br />****************************************** <br />(. 2.. <br />"? t/ /1'.4/ tr' ' <br /> <br />:J;::::~,~:Ay~ ~ ~o/ }1< ~~;~::b~~e o~e~~~~~~~i~n " <br /> <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />*************************~**************** <br />~'.,~ I' <br /> <br />MECHAN1CAl. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF -- <br /> <br />****************************************** <br /> <br />PERtllT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />