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<br />,l J'" <br /> <br />IJ <br /> <br />--_... <br /> <br />\ <br /> <br />AP?LICATION FOR EERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />L -2' ~D iG' <br /> <br />APPLlCANT ;<",';.) 5 '7 C.P-.v fr...J? <br />ADDRESS /' 7 ,~A F)L .x;~ <br />OWNER f< < V . .5 tAJ is /.,u <br />JOB LOCATION t, lot; I 02. ~ S rf . <br /> <br />1J./~y/4/c <br /> <br />PHONE <br /> <br />LOT SIZE_____X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~~ of Uni ts <br /> <br />._M/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 <br /> <br />Square Feet, <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 FORMS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />~ECHANICAL <br /> <br />AMP Service <br /> <br />Florida power Corp, <br /> <br />_W.R.E.C. <br /> <br />$ 2f11r ~ Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.'" . <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, j~- <br />City License Registration # <br />****************************************** <br /> <br />J3UILDER <br /> <br />Si~'nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />F.T.FCTRICl AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />QTHER <br /> <br /> <br />Company J{: "A.j 5 ~' L:.JI-rV r! "': ~ <br />State Cert, or Re st, 4~ /(11~OSi. ~~'R <br />City License Registration # 71 <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. j~- <br />CityL;:icense Registration ~.~ <br /> <br />.** <br /> <br /> <br />PERMIT OFFICER. <br /> <br />APPLtCATION APPROVED BY <br />