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<br />APPLICATION FOR PEru-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />TJ;..,e-L ~ C-J.aaJI. 'q <br /> <br />, II <br />/3 8" E) Y 0 ~f.. e L L,/c\ <br /> <br />fJA-R L[(~ <br /> <br />PHONE <br /> <br />7~2-Oh,~1 <br /> <br />APPLICANT <br /> <br />OWNER SA;/I/lL <br />JOB LOCATION (~~ SLfo il< E/c/S <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 .l~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />, .____1'1/ H <br /> <br />Sf~/f1f, LSf!: Other <br />~~ 1'5 7l2:M <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____l~ of llni ts <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 FORNS."'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMITS 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 />.A-PLUMBING <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 />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR ~ECTION <br />Company <br />State Cert. or Regist. Q <br />City License Registration a <br />****************************************** <br /> <br />j3UILDER <br /> <br />Signature <br /> <br />, Company CeLl (( (5 (SA-If f< Po' ~ %~ ' It) f-, <br />tk ' ~ 51 rfnb State Cert. or Regist.!I IZ~-- :D't. ' --- <br />. ,,(/2.. ' . City License Registration j~ ,C;"7 <br />.. -- C" .......................................... <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration 6 <br />****************************************** <br /> <br />f,LECTRTCIAN <br /> <br />Shmature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration j~ <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration a <br /> <br />QTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />***********~*************************** <br /> <br />)14 ~A~ , -- <br /> <br />PERMIT OFFICER. <br />