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<br />OWNER <br /> <br /> <br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEP Tt-tENT <br /> <br />APPLICANT <br /> <br />~ 6..?~ <br />2~- i4~ PHONE S7~ - ~?/2- sV27' <br /> <br />ADDRESS <br /> <br />~ ';(( / jl,~ f<:. <br />Ii- V LOT SIZE_X <br /> <br />AREA SQ,FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D .1F ;) - ;( b - ::L/ <br /> <br />/ -~O -- :;; <br /> <br />WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign - ~Iove _Demolish <br />PROPOSED USE: ~Single Family ....:...-M/F _iF 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 Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COill1ERCIAL : <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 FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />J'ERM1TS REQUESTED <br /> <br />"::"--BUILDING <br /> <br />$ <br /> <br />0CS:~ <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 /> <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 />**** {,* {,*{:*'************* * * {,*{,'~ * {, * ~r ,',~,;,;, ,',;,;, *~, <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <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 />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration 11 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />QIH.fJ\ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration iF - <br /> <br />APPLICATION APPROVED BY <br /> <br />77 ';;:':~F~r;.:; ;~;**.w""".""".;" ,,' <br /> <br />PERt-lIT OFFICER. <br />