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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />. / . ' <br />APPLICANT /t~.1 ~ C;/Y <2 Ii' e fe <br />ADDRESS !L_ yc! .w- <br />~1t({ifiP) (/J;'rTlI - ~ . <br />JOB LOCATION -"39// / 73./Vc/?Pf: <br /> <br />PHONE <br /> <br />'. <br /> <br />LOT SIZE 71; X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) /)"-/6 -I 7 BLOCK <br />PARCEL 1. D. ~~ I;)", - (;) c., - d- / <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim.. Pool <br /> <br />. --;;4u <br />/2f{1 JIIfr 1.(/7 <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 Fee t , <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 FOro-IS..1d: <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 />. <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />JmI LD ER <br /> <br />Signature <br /> <br />SiQnature <br /> <br />Company <br />State Cert. or Regist. n <br />C{ty License Registration n . <br />****************************************** <br /> <br />ELECTRICIAN <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 n <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />'11 fl"".(! ~ AI ...&'" 4U ~ <br /> <br />PERMIT OFFICER. <br />