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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />/~/lo/ <br />5'":2. '/ ~ <br /> <br />9iAb~,,1 <br />1/ .$f <br /> <br />-<'t;nJ. J~~' /I~ <br />/ <br /> <br />J:3 ,11/ <br />PHONE <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br />LOT SIZE ~O X /3-rJ AREA SQ.FT. 9tJOO. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL l.D.# //"2t- 2/-0010 ,./X'/OD-- <br /> <br />WORK PROPOSED: ~ew Construction ____Addition <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />005"0 <br /> <br />-^lteration <br /> <br />____Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____Sign <br /> <br />_Nove <br /> <br />_Demolish <br /> <br />~/F <br /> <br />_t~ of lTni ts <br /> <br />,._M/H <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: /1 X /1 <br /> <br />/J--/ <br /> <br />Square Feet, <br /> <br />7 <br /> <br />I <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~BUILDING <br /> <br />PERMITS REOUESTED <br />6' 7lt':z.~ valuation of Total Construction <br /> <br />$ <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 />.... . <br /> <br />_PLUMBING <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 />BUILDER <br />Signature ~~. <br />", <br /> <br />CONTRACTOR SE~ ~ . <br />Company , c;) __< - -<'0I./""'- ; <br />{' / U f2, State Cert. or Regist. iF ..,. <br />~/Jt.. . City License Registration ir .~/S- <br />*******~********************************* <br /> <br />ET.F:CTRTCTAN Company ~*~ E~./'~';'--> <br />~ ~ State Certo 0 egist. II <br />Signatur~.(?: K ~/ City License Registration iF ~/ ?~ <br />~ ************************************* <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration n <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration il <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************* <br /> <br />aha .2.A4.......'I- . <br /> <br />PERl-lIT OFFICER. <br />