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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />/1; 3: /rJ+ <br /> <br />ADDRESS ~?:>/O ?hl/nc"c' C~I1/t;r <br />OWNER 7lkD C:;rArt;; nqe124/ <br /> <br />~AAK, ~ <br /> <br />/1'1"(7.</7/011/ <br />/ <br />'24//$ 335'0// <br /> <br />PHONE ~I' 3 - ?yr- 9'S--3~ <br /> <br />'. <br /> <br />JOB LOCATION 65"/5/J/ &14.//I3/f/rJ <br /> <br />Z-AlJ//c, <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. t~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~nstall <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 Units <br /> <br />.._M/H <br /> <br />_Commercial <br /> <br />____Indust. <br /> <br />____Swim.. Poo 1 <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 FORI-IS. H <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 /> <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />nUILDER <br /> <br />Si!;mature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />ELECTR1C1AN <br /> <br />Signature <br /> <br /> <br />..-:-' . <br />Company I-;:;v;;"u:i 11"1"/111I11011/ <br />State Cert. or Regist. 4ft <br />City License Registration 1F ~6Q <br />****************************************** <br /> <br />Signature <br /> <br />Company . <br />State Cert. or Regist. 1ft <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />