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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICAN:-~~/L tL 1~ <br />ADDRESS / () () - I Y ~ ...- ~~ <br /> <br />OWNER 'l/aLL- ",-I~ f)~ <br />~Jy <br /> <br />PHONE <br /> <br />JOB LOCATION ~-..s -I 7 <br /> <br />LOT SIZE_____~ AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D .1F <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move -v-: <br /> _Demolish <br />PROPOSED USE: _Single Family _M/F _IF of Units __1'1/ H <br /> ~Commercial - <br /> _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X_I <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI-IS. * * <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'1S. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />v--- <br />_BUILDING <br /> <br />$ ~-~ P' c:J S ctV <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 />_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 />r-7J ;J CJ /{ 17 CONTRACTOR SECTION <br />BUILDEF/') il~ ~ _/C.uf~ ,--Y/Y>-<' Company <br />'-'- / -;/(J ~. State Cert. or Regist. ii <br />Signature ~_':, ~ City License Regi~trati()n iF <br />********* ****************************~*** <br /> <br />~:-7S <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PUJMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration :i <br />****************************************** <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. f <br />City Lic~n~e Registration # <br /> <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br /> <br />APPLICATION APPROVED BY <br /> <br />* ..-..J....t....L J..J.. * *......~* ***",J.* **,J~ J.* ..l'~~Y..J~ J..,. "~~'_ J. oJ.. .... -'.. _'.. ~'. _'. -'.. _'.. _'. <br /> <br />7!;~.~~' . ,,~~, ... ............ <br /> <br />PERmT OFFICER. <br />