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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />ADDRESS <br /> <br />~tI~;; /.MA./.J-~r <br />3?o), /3 r~>/~~ <br /> <br />'/::;' if -e <br />. <br /> <br />PHONE <br /> <br />'7 ?2-/o~ / <br /> <br />APPLICANT <br /> <br />OWNER <br />JOB LOCATION J.;;; 'It1 e-. <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 .1~ <br /> <br />WORK PROPOSED:~New Construction'-~Addition ____Alter~tion ____Rep~ir ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />____commercial <br /> <br />~Indust. <br /> <br />____Swim., Pool <br /> <br />. .____M I H <br />/;.!')( ~ ,I <br />r-A o('.~~T Other <br />V\ ~1 ~ \ ~ i '1 %\~ , <br /> <br />PROPOSED USE: ~Single Family <br /> <br />..:.-J1/ F <br /> <br />~t~ of Units <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />ldo X /~, <br /> <br />Io/l/.'Y) Q+- Square Feet, <br /> <br />'"7 I <br /> <br />, <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 FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />URMTTS REOUESTED <br /> <br />-:::::,-BUILDING <br /> <br />$ <br /> <br />d Or::; 0 <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 />})) ) V)I\. Other <br /> <br />FINISHED FLOOR ELEVATIONS: <; FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR ~ECTION <br />Company <br />State Cert. or Rcgist. # <br />City License Registration n <br />****************************************** <br /> <br />nmT.DER <br /> <br />Signature <br /> <br />Sio:nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************** <br /> <br />f,T.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />,PUlMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />!:JECHANICA1, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br /> <br />pTHER <br /> <br />c~/'\. <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************* <br />{f Ad -<! '0 ,VI AV."- . <br /> <br />PERHi.T OFFICER. <br />