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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ _ GoD ~ of' ~ t E'L "t:\ 0 <br />ADDRESS 3~ a \ \ Q,\ A W~C-\ _.:..... <br />OWNER lJ\N'V r'~..)o\- L~v.J'" S <br />JOB LOCATION $' L. '30 - \ q 'ti ~" <br /> <br />PHONE <br /> <br />"'2 s:-i -- ~'513 <br /> <br />'. <br /> <br />LOT SIZE X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____~~ of Uni ts <br /> <br />. .____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim.. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />-LELECTRICAL <br /> <br />\ al') <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 />-~ . <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <br /> <br />BUILDER <br /> <br />:T::~'~'~B Company 7-I;:-\'L\S I::<:~q, ';;€l!-'ll<'€ <br />State Cert. or Regist. Ii aDO ?.-lG:.R- <br />:e - - _. ~ . ... .. 2~.~~~~.~~;:~:~.~:;.~:;;~;~~~ jj I" <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration I~ <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br /> <br />APPLICATION APPROVED BY "L1:r~~*~~***"*" PERMIT OFFICER, <br />