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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT D;t:);"I7# ~~I:/ /N'(/Ar;;;~ <br /> <br />, <br /> <br />::::55 3 3~//-'C'<(. ~/h <br />~, . <br />JOB LOCATION~l <6 :3 1?" LJ 1 <::;:\ .'"2 t:lLlS.- LOT SIZE_X <br /> <br />PHONE ~/3 <br /> <br />,. 7rP- 9S'3b <br /> <br />" <br /> <br />AFlEA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.n <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~stall <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 />.._M/H <br />~/'II(/t/e/( Other <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <br /> <br />_t~ of Uni 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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS 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 />~UMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.'"' . <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <br /> <br />BUILDER <br /> <br />MECHANICAL <br /> <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br />~ . <br />Company ,/~C/~Akl ( yt V" <br />State Cert. or Regist. 0 <br />City License Regis tration l~ '5"bl") <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration n <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************* <br />/lA1A'A ~ r C../)A~, <br /> <br />PERMIT OFFICER. <br />