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<br />APPLICATION FOR PER1"tIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br /> <br />.~ <br /> <br />APPLICANT <br /> <br />C<- <br /> <br /> <br />. PHONE <br /> <br />7Pf~-d(f F <br /> <br />ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />AREA SQ. FT. <br />s: ({,Ie,-- ~~j\ <br /> <br />LOT SIZE_X <br /> <br />JOB LOCATION <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alterntion ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim.. poo 1 <br /> <br />,__M/H <br /> <br />:;;{JTlJ;J~/ ~~ <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____~~ of Uni ts <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t I <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fOR~IS, H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <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 />_H.R.E.C. <br /> <br />____MECHANICAL $ <br />"k-PLUMBING <br />TYPE OF CONSTRUCTION: <br /> <br />Valuation of Mechanical Installation <br /> <br />~ <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />** ** ** f'*f:*'*** ******** ** * * f,*1,,~ * 1, *,',~, ,': 1: {: ,': -I: -I: * .:: <br /> <br />Signature <br /> <br />~ONTRACTOR 0ECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration" <br />****************************************** <br /> <br />JHnLDF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration" <br />****************************************** <br /> <br />f . Company ~ ((vvvJt ~.,d.; P!'A./O'Yl,: <br />. ~ a. State Gert. or Regisi!. i..\<";Ca ~"l f;f y <br />_~ _~ ~flli City License Registration!~ I"<-S- <br />.. ****************************************** <br /> <br />f,T,F.CTRIC1 AN <br /> <br />Si!?'nature <br /> <br />PLUMRF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Ftegistration a <br /> <br />pTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************* <br />~ .< (j- ...R/\AII", 1 ' <br />, ' <br /> <br />PElliltT OFFICER. <br />