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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 1f:?Il~ (11, ff/J> <br />ADDRESS 5"-- _ __ Sf: <br />OWNER fi14rj4re/ /It. ttJ~ <br />JOB LOCATION S5/5 5" tJ:. 5 r <br /> <br />PHONE <br /> <br />1%;1. - Ro;;S <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 ~stall <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />____i~ of Uni ts <br /> <br />, .____M I 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 />/0 X 10, <br />. <br /> <br />/00 <br /> <br />Square Feet, <br /> <br />'II <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 FORl-1S.""* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />ere <br />35 (JO =-- <br /> <br />pERMITS REOtJESTED <br /> <br />~ILDING <br />~LECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <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 />AIM,.. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Sillnature <br /> <br />f./!!s11l fiufrit/ Company Aa. r;4/ir,' <br /> <br />State Cert. or Regist. ~~ lJOO(Jc.t,;J'1 <br />City License Registration 11 '::..2./ <br />****************************************** <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SE~ ~! ~~ <br />' Company <br />, State Ce t. or Regis . II if <br />City License Registration ji .'3iLl <br />****************************************** <br /> <br />BIl1LDERQ~ at.-. <br />Signature <br /> <br />ELECTRTCTAN <br /> <br />~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ji <br />****************************************** <br /> <br />PLUMBER <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 ji <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />-7! -'i ~ ""'0 ~/ /l ,r> - i- . <br /> <br />PERMIT OFFICER. <br />