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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br />LOT# I <br />JOB LOCATION <br /> <br />-, <br />To vJN VI&tAJ Me})/ clJ <- <br /> <br />Awr<.} <br /> <br />SARA sotiJ. <br /> <br />SARAso"IA PHONE 1- rOo ~ y~ l- if 15 3 <br />I <br />Jim B/fl/S#A IY/ <br /> <br />c:r: LOT SIZEi.S..tLX IS8 AREA SQ.FT.25, 700 <br />. <br /> <br />ADDRESS <br /> <br />C-VL/~ Colis'/" S 171Vr;; , '0 F <br />/ 7 J 3 Nt7~TH G--,q ~ 8 Lv/) <br /> <br />APPLICANT <br /> <br />dlEDJr A I <br /> <br />~~s <br /> <br />LEGAL DESCRIPTION: LOT (s) S ~€. IfJT/JGf/t:D BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br />____Sign/Temp. ~Sign _Hove ____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____~~ of Units <br /> <br />, .____M / H <br /> <br />-X-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 />PERMTTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />S" li,lt/ Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />RlJ1LDER G-rn{: CcFl~r <br />Signature 9am.t.../\ /? <br />!/ <br /> <br />.::rAm e:s f? /Yl CJC NYV'tJrJ Company ";uL r C:oAS"T 5J'l.A/!. (FlltJlfL. fI~{.Ij> <br />State Cert. or Regist. il es ooooaS'1 <br />ri: /}}1'=I:-~ tlJ~IfI1JT) City License Registration il 37~ <br />****** *********************************** <br /> <br />CONTRACTOR SECTION <br />S ~J1IS ~'-';~r1SoTl1 Company &Vl. t= C0I9"57 .,))&,;0/.$ d F 54/fr1sqA <br />State Cert. or Regist. II ~-; 60000fl <br />~~~ City License Registration il _ .2ls <br />****************************************** <br /> <br />ONl--Y) <br /> <br />ELECTRTCIAN <br />51 gnatouj_" <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City Lice,se Registration # <br />*******************~********************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~:~..*....*.*..*.***.****..*.. <br />~J\Av:Y . <br /> <br />PERMIT OFFICER. <br />