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<br />... <br /> <br />-- r J <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT JlR .~ ~~ . <br />ADDRESS 3fI'2.I~ &",..-s4uE,~"".~HONE ?8"L..- ~3~' <br />07~~ <br /> <br />OWNER <br /> <br />LOT SIZE_X <br />- <br />BLOCK ~ SUBDIVISION <br />I "2- - '2- ~ - L..( <br />"D "!>O 0(:1 '500 - 00 bO <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION <br /> <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. # <br /> <br />(!tr) - .... . .~....... <br /> <br />WORK PROPOSED: ~~w Construction _Addition _Alteration _Repair ~nstall <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _~~ of Units ,._M/H <br /> _Commercial _Indust. _Swim. Pool 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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />.-BUILDING <br /> <br />$J~5~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.#' , <br /> <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 /> <br />CONTRACTOR S~., __....~ ."\. <br />Company ~iIIJ~Q.. ~...-.. <br />State Cert. or Regist. # <br />City License Registration # ~- ~ <br />********************************** ~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLlrMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # - <br />* * * * * * * * * * * * * * * * * * * * * ** * * * * ** * * *,~ * * * * * * * * * <br /> <br />MECHANICAL <br /> <br />Signat.ure <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # ~ <br /> <br />01'HER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************** <br />t1 M R' A ~ --",.I) L'J" " , . <br /> <br />PERMIT OFFICER. <br />