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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />::::S~/:?<iA-(l~. ~~ <br /> <br />Jon LOCATION ::S-:01 / . -. -: <br /> <br />PHONE <br /> <br />LOT SIZE X <br /> <br />M~EA SQ. FT . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ ) 'J. - ;) (, - :2./ - 0 u Y CJ - () 0 S c:/ cD - 0 00 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 />____i~ of Uni ts ,_____M/H <br />____Swim.. Pool ~~,~ Other <br /> <br />PROPOSED USE: ~Single Family <br /> <br />_M/F <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 />COMHERCIAL : <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />V---BUILDING <br /> <br />$:ZOCJ~~ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. {! <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CA1. <br /> <br />Signature <br /> <br />OTHEE '/1t11!):lf ]I AA- 1- A ,0<')-<>-l ~ <br />Signature 7h,,~ /2 IhAf/lW01JcI <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED <br /> <br />~********~*************************** <br />13Y ;J~J tI/l.-f./}/t) .. :. <br /> <br />PERl-l1T OFFICER. <br />