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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />1);T <br /> <br /><;:; / rlf <br />, <br /> <br />ADDRESS 33/0 /b//or..K tAA/# <br /> <br />OWNER ;;.f!l~/ ~ c6~ <br />. f ~ <br />JOB LOCATION 37f.J1'} jI3AI3J::;A~'1 LfIOO <br />I . <br /> <br />2~#t//S. <br /> <br />PHONE 173- 71?'r- ?'53,/;, <br /> <br />2fP1#'16 <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION ~CCi/ <br /> <br />PARCEL 1. D. t~ <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 />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />_t~ of Uni ts <br /> <br />, .____M I H <br /> <br />_Commercial <br /> <br />____Indust. <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 FOR1'lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOlJESTED <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 /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <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 SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />}3tJTLDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET .ECTRT CT AN <br /> <br />Signature <br /> <br /> <br />Company . r;;;~/' 11'/'/9'A//C#Y nrJl'I-(77 <br />State Cert. or Regist. l <br />City License Registration 41 5'60 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />MECHAN1CAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />****************************************** <br /> <br />PERl-lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />