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<br />APPLICATION FOR PER1'11.T <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />f . <br />. .... <br /> <br />APPLICANT <br /> <br />ADDRESS PHONE <br />OWNER 1!1 A X riSe 1bf2 '~nl <br />JOB LOCATION 3'13 of:> ~ ~ live, 1iU'A lie l:>>~b;l. ~J9<.OT SIZE '/0' X f'6' AREA SQ, FT ' 3, !:t' 6 <br />LEGAL DES CRI pTIO N: LOT (., 'f /) BLO CK S DBD IVIS I ON ,if. /1" e 1>1. b:J. U... ~ ill(}( <br />PARCEL I.D.i~ 1:;2,- Jl..,- }(-bO ;).13- OOSDO-OO()0 <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration _Repair _Install <br /> _Sign/Temp. _Sign _l'love _Demolish <br />PROPOSED USE: ____Single Family _M/F _i~ of Uni ts .' ~ M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: 14 I xS(,! , Square Feet, 7i'1 Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOlU'lS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERM1TS 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 />.... . <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR SECTTON <br />Company <br />State Cert. or Regist.!~ /1/7 ,tPt'.57J- <br />City License Registration n <br />************************************* <br /> <br />~~:~:n~er!1~~~~~~~! ~'!tt ~ <br /> <br />City License Registration i . <br />**************************************** <br /> <br />= <br /> <br /> <br />Signature <br /> <br />fL/#tI ,/ <br /> <br /> <br />ifF 0<.:\377-3/ <br />it /tJ,( / <br /> <br />= <br /> <br />,r/i~S~..c k /V\ J. <br />[ire- tJ';'> '23 Y S- <br />iF qc; 11- / ~ <br />I <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, n <br />__- City License Registration it <br />~ .' -': /-. <br /> <br />B~/';7i!;;JlJ;;'~:i:::/{:;dt~&>"...*,*, <br />..... - ~ <br />_.. <br /> <br />OTHER <br /> <br />PERMIT CFFICER. <br /> <br />APPLICATION APPROVED <br />