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<br />APPLICATION FOR PEmlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt'lENT <br /> <br />ADDRESS <br /> <br />~h/r1? <br />t:,~ ~~ ~'A-~K sr <br />oWNER (8o~. .~..~~ <br />JOB LOCATION ; ~ . r.' . <br /> <br />8 <br /> <br />'DEt:?t{ <br /> <br />PHONE g /3 -. 7 n - cJf"~ <br /> <br />APPLICANT <br /> <br />BLOCK <br /> <br />LOT SIZES'S X F..s AREA SQ.FT. L/%~ <br />SUBDIVISION 0#1- <br /> <br />() j~--I <br />LEGAL DESCRIPTION: LOT S ~~- <br />PARCEL 1. D. ~~ 12 - .5l C, - 2..-1 - 3'""- !J <br />~ddition <br /> <br />WORK PROPOSED:____New Construction <br /> <br />_Altern.tion <br /> <br />_Repair <br /> <br />____Install <br /> <br />____sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />~M/F <br /> <br />____~~ of Uni ts <br /> <br />, .____H I H <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 It:, , <br />. <br /> <br />s:a ~JUZ Y\.. Kat:) X\ Square Fee t, <br /> <br />/9;:J-. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMNERCIAL : <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 FOmlS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~r.RM1TS REQUESTED <br /> <br />VBUILDING <br /> <br />$ <br /> <br />3df)', t2.!:.- <br /> <br />valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_\-l.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 <br /> <br />~Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />*********~******************************** <br /> <br />Signature <br /> <br />CONTRACTOR 0ECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registratinn 0 <br />****************************************** <br /> <br /> <br />:Ti:::~:: aN n- <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CAI. <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />Company <br />State Cert. or Regist. 0 <br />~~ CitY)License Registration if <br /> <br />;' /;" * 1< ,{ * aft)* * * * * *,( * */~ * ~ :;'~'." ,"",:" 7fl/,~~, * ;( ;: <br />\...,... ~ C ../j~~lLlt PERI-lIT OFFICER. <br />" . ~ <br /> <br />DTHER <br /> <br />Signature <br />