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<br />J__, <br /> <br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />{i~ <br /> <br />'I <br /> <br />APPLICANT <br /> <br />f'i~ <br /> <br />ADDRESS <br />OWNER ~/14~ <br />JOB LOCATION (; ,l,( ~ <br /> <br />.:>' ": " ., <br /> <br />PHONE <br /> <br />" <br /> <br />~_f2Il '/1-trl <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.~~ :J.... db - ;;1-( <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED: ~New Construction ____Addition ----Alteration ____Hepair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____~Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~ommercial <br /> <br />~/F <br /> <br />_f~ of L1ni ts <br /> <br />.._M/H <br /> <br />--.:..-Indus t . <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 FOR~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />L.--""'" <br />_BUILDING <br /> <br />PERM1TS REOUESTED <br />$ :53 d.. I b 7b. (TV Valuation of Total Construction <br />~ <br /> <br />~ELECTRtCAL <br /> <br />L..../ MECHANI CAL <br />~ . <br />_PLUMBING <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 />G,AS <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 />BUTLDER 13 ~ J. <br />Signature l :Jf'1--^^L- <br />, <br /> <br />********************************~*~~O~ ~ <br />IJ1 CONTRACTOR SE~lf~N...h, ~. /' ,~ ~ <br />o-YLQ. 'Company ,Iff . (.-0. , , <br />;J State Cert. or Regist. il <br />~~g_____ ' City License Registration il ...?;;.z.<../ <br />** ******************************~~~v*~*vv <br /> <br /> <br />I <br />J <br />PLUMBER <br /> <br />Company ,R,f'"L/lT.t' IJ EL t"CT,f\ J C...-TN C. <br />State Cert. or Hegist. il !?/?,cCo9lJ69 <br />City License Regis.tration i~ .:l.;t.;2.. <br />****************************************** <br /> <br />Company , 0 ,,,,,f =:t~..yyL4- <br />State Cert. or Reg:Lst. ;,! <br />City License Regis tra tion il /,=5 Y <br />****************************************** <br /> <br />Signature <br /> <br />l1..EiJiAN1CAL <br />Signa ture ,-,'1'1~~ <br /> <br />CompanyT6.. '/ /0 f/' ti,V' Co 1-1 J ,-It-a Y1 (n t:f <br />0._' State Cert. or Regist. ii-I2lt-cOl-ff.olrt5J <br />~ City License Registration it /04 <br />~~.....*****.***************************** <br />