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<br />., -~----,-..........~._.----_._-~_._--'-'-'.'~~'-' <br /> <br />APPLICATION FOR PEm1IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-tENT <br /> <br />APPLICANT <br /> <br />.~ (I r~ <br /> <br />(o') <br />~.~ \!,.'~~C'e <br /> <br />'. ~..-" <br /> <br />l..c:< r t, u. c <br />. <br /> <br />ADDRESS <br /> <br />:;'(:--~j <br /> <br />,.I" r/... ~~ v.,C, <br /> <br />PHONE <br /> <br />7t' <br /> <br />I/L/~ <br />- <br /> <br />~' <br /> <br />OWNER <br /> <br />I.T(J <: <br /> <br />/-", ., <br />,J.," \ ~ (' A. (! .(' <br /> <br />t;::' ,- <br />I A~ ,r r- t.A Ct' I <br /> <br />JOB LOCATION '] '( '1 '") (,.' .~a p,,, -< LOT SIZE_X <br />LEGAL DESCRIPTION: LOT(S) (,~:') / '1 .5. BLOCK /;"'- SUBDIVISION <br />PARCEL I. D. ~F /-,+ 1:;:2 _.. P ":< ,I f? 4~ . ~-;-i' <br /> <br />AREA SQ. FT. l?,.., <br /> <br />WORK PROPOSED:~New Construction ____Addition <br /> <br />\, <br />...-:::.-Alteration <br /> <br />_Repair <br /> <br />I ' <br />~Instal1 <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 />_iF of Units <br /> <br />,._M/H <br /> <br />_commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: I! <br /> <br />X :' ,;;'~,p , <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM1'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'1S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~RMITS REOUESTED <br /> <br />~BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />l ~.'" <br />, . <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.- <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />____Frame <br /> <br />____Steel <br /> <br />AI . <br />I ;f h' " /', j /C' <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR 0ECTTON <br />Company <br />State Cert. or Rcgist. 0 <br />City License Registration 0 <br />*****************************************~ <br /> <br />illllLDER <br /> <br />Signature <br /> <br />Sio-nature <br /> <br />Company <br />State Cert. or Regist. n <br />City License ReGistration 0 <br />****************************************** <br /> <br />f,1.F:CTRTCTAN <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. a <br />City License Registration 0 <br />****************************************** <br /> <br />I1ECHANTCAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />APPLICATION APPROVED <br /> <br />~**********g********************~;*~**** <br />BY .Lfd.,"'I'"';j _..Ij pA fll,j . .,' --- P "RHIT OFFICER, <br /> <br />.;~~ <br />