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<br />. , <br /> <br />,'. <br /> <br />APPLICATION FOR PEIDIIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT L C'ljy\~ ~Q.,,"~~ <br />ADDRESS "5"?:,:::,!...- \~L 0\ <br />OWNER -S-~\ (L,-~~ ~. "BrLc.Qr<\ <,. ~ <br />JOB LOCATION "S3~ '"L \~ "'5'C' <br /> <br />PHONE <br /> <br />l~cg) 'ii L- ~ <br />~~~~Y) <br /> <br />~0 <br /> <br />G..L.\ ~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.iF" 11- 21.- 2/- t'Jh/~}... J7.s-~{") - ooBi'J ~ <br /> <br />WORK PROPOSED:____New Construction y"'" Addition _Alteration _Repair _Install <br /> ____Sign/Temp. _Sign _Nove _Demolish <br />PROPOSED USE: _____Single Family _M/F _iF of Units ,._M/H <br /> _Commercial _Indust. _Swim. Pool Other <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 />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 FORNS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />jJ '1 ,,() q.p. <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 />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />Signatur <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />************************************** <br /> <br />ET.ECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />Siv:nature <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. ff <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY *~~~~~~~:;;*~************. <br /> <br />PERMIT OFFICER. <br />