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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Cd~~.-o <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />ADDRESS <br />OWNER r:I/1~-</ <br />JOB LOCATION {;Sf ~ <br /> <br />~lLl!lJ /1LJ! <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. ~F :J".;; b - ;;1-( <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED: ~New Construction ____Addition --^lteration ____Repair ____Install <br /> ____Sign/Temp. ____Sign _Hove ____Demolish <br />PROPOSED USE: ____Single Family ~/F ____t~ of Units ,._M/H <br /> V<::ommercial ____Indust. ____Swim. Pool 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 FORl'1S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />V/ BUILDING <br /> <br />pERMITS REOUESTED <br />$ 3'3;).., &76'. c,...-u Valuation of Total Construction <br />, <br /> <br />~ELECTRICAL <br />~MECHANICAL <br />VpLUMBING <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />BUILDER /3 ~ J. <br />Signature l J()J\.....<-. <br />, <br /> <br />********1,******************1C,~*~1C::'_/J-l' ~ <br />JY/ CONTRACTOR SECTION ~':''VI ~ <br />a-1YLQ . Company E..J. IYI . c..o. f <br />r . <br />;:J State Cert. or Regist. 1F <br />_ o.~..r-. City License ReRistration " 3;;L '-I <br />** ******************************~K~X*U*** <br /> <br /> <br />company)2,rL17Ti"{) ELE{'TJfJC.~, -TNC <br />State Cert. or Regist. iF Rf?,0'CD9Lf69 <br />City License Regis.tration iF ...l.;;t..2.. <br />****************************************** <br /> <br />Signature <br /> <br />uP ~'il <br />. Company' 'ox 0 _ I ....y~~ <br />~l ~ ~ State Cert. or Regist. 1.! <br />I '. ~ City License Registration iF /3 Y <br />. *** ************************************* <br /> <br />j <br />PLUMBER <br /> <br />MECHANICAl. <br />"-;y () <br />Signature 'r~ <br /> <br />companyT6. 'I/o f/' tilV' Co ~'1 ci ,fro VI fnJ <br />0~ ..-,........ State Cert. or Regist. !I~A-C or.j("f ~.5 <br />~fT--- City License Registration 11 /0"1 <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />-~*********~************************** <br />()At.A"~. pA ~ . <br /> <br />PERMIT OFFICER. <br />