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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS {o C1 ~ d f +, \( \~ n :J <br />OWNER J:. (vYlo.... L, F vq7. <br />JOB LOCATION5.9 Y ~ to <3 + 'I <br />LEGAL DESCRIPTION: LOT(S) ~ 2 <br /> <br />,l4.. (+,' 0 n A I u fYl ) n l I (Yi <br /> <br />r-<d, ) <br />e_1 <br />Avz <br /> <br />L'ld..~.J ts <br /> <br />PHONE <br /> <br />[CK~ - \2:>4Y <br /> <br />APPLICANT <br /> <br />PARCEL I.D.l~ 0310 - 00000 - O'l{$() <br /> <br />WORK PROPOSED:____New Construction )( Ad~ition ____Alteration ____Repair ____Install <br />~ w, ,\d.CiVS <br />-to e>< \5 -t . ":J Y 0 0 v"'"""l <br />____Sign/Temp. _Sign _Hove _Demolish <br /> <br />PROPOSED USE: ~Single Family _M/F _i~ of Units ,._M/H <br /> <br />BLOCK <br /> <br />LOT SIZE+LlX \ \ a AREA SQ. FT. <br />SUBDIVISION SUI)~':+ E S+ 0.. -+ e J <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />_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 />VI CONTRACTOR SECTION <br />BU1LDER 'Ac.-DC)f) 1,1 () (Y))' () lJ {"Yl Company <br />State Cert. or Regist. ff <br />Signature City License Registration iF "7n <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />f.J,ECTRTCT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 1 <br />****************************************** <br /> <br />MECHANICAl, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************** <br />/1A1 /' '\{ .'p ~ A'F)/I. .,..... . <br /> <br />PERMIT OFFICER. <br />