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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARntENT <br /> <br />OWNER <br /> <br /> <br />PHONE <br /> <br />788'28Zh <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LOT SIZE .so X J t.M AREA SQ. FT. 7000 <br />BLOCK S SUBDIVISION(r10a~f-S F1/(S T A/J1J17Z:J/V <br />o Q / 0 - () D6 0 0 - 0 J 0 0 <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim.. Pool <br /> <br />. _____M I H <br />!}({l'Vt WA rather <br />(fA~K.1:N6 PIW) <br />ONLY <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____t~ of units <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ) .5 X 2 a , <br /> <br />300 <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM1'lERCIAL : <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.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ 2 '2.5'.00 <br /> <br />Vriluation 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 />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 SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />BUILDER <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ET ,EGTRT G1AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company ____ <br />State Cert. or Regist. U <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAT, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />PTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />~ /1 a/V1~A~ ~I Q/\~)]""";'-""..:" -' .. i. <br />( . - ,- , <br /> <br />PERIHT OFFICER. <br />