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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />~ . <br />'~PPLICANT ~~ Ej~Q , <br />C:t5DRESS -S<1\\'\. '~~ R(\'~ 2~")h~\7i'\~:\l~ <br />OWNER ---=-je~"'\\l ~ f\. VV\:\toN <br />. <br /> <br />JOB LOCATION~~\()l ~'^- ~l <br /> <br />.~A <br /> <br />PHONE ~r:s-'\~'2... ~::. \ 9' <br /> <br />" <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. i~ fl.! .-'"'LfO-"Z. \.-00 \ (~-- 00.$ oc- 0 \$ D <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />____~love <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />, .____H / H <br />AhD ~ Other <br /> <br />,-:,--M/F <br /> <br />____i~ 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 />COM1'lERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~lS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />J:::::::.ELECTRICAL <br />~ECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ z''iW ~ <br /> <br />Valuation of Mechanical Installation <br /> <br />~ <br />.. ... . <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 Rcgist. # <br />City License Registration 0 <br />****************************************** <br /> <br />BUTl.DER <br /> <br />:T::::~~ companY~~~~ <br />State Cert. or Regist. i~ E.,K/"ol'>SI2.'1 <br />~O" . t1~1~ .. City License Registration ;,1 ~"S'l <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />,PLUMBER <br /> <br />~. ~tIiE .~C? <br />MF.CHAM#' Company .r -f-: iJ<.U', <br />~ ~ ds: State cer't, or Regist, i' Rl'I.Cc2.'\'~ <br />Signatu e '1 ' L""'" City License Registration 'I D5,,!; <br />. ~. ********************************~********* <br /> <br />.oTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Regist~~tion 0 <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERl'lIT OFFICER. <br />