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<br />~ <br /> <br />APPL'ICAT'ION FOR PER1'IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Ii. (~ <br />J6t.2 N <br /> <br />p4YJ / C I:.;-~ <br /> <br />JOB LOCATION LS7/53p/l;")::: <br /> <br />" .. <br />P !cl):/' 6//;' ';" <br />, <br /> <br />'. . <br /> <br />ADDRESS <br /> <br />, / . <br />;Yz (..f ,!/ <br />( <br /> <br />,7:'1/. ..j)4 4:. <br /> <br />/~.... . <br /><-- / ":7"7; <br /> <br />PHONE <br /> <br />O/~'7'" QI- os/(}c <br /> <br />OWNER <br /> <br />lJte , <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. If Z..eph7'~ /(e/~/4r<j <br />J <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />;? 13 _'i h:t I,~CJ LC' f 4 B / k.. C:, <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair ____Install <br /> <br />_Sign/Temp. _Sign _~l:)ve ____Demolish <br />PROPOSED USE: / Single Family ~M/F ____If of Units . _____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 Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMl'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 FORHS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />VPLill1BING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />* ****** *1:*.************** *1,* 1,,~ ** * ,'r~' i:~, ,', i, * i, *~, <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. U <br />City License Registration 0 <br />****************************************** <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />PLUMBER /J . C . <br />SignaturetZ'tt <br /> <br />fJ'I~?u 617 <br /> <br /> <br />~~"""..A'.../~ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />:;2.7 <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />***********~*************************** <br /> <br />:o/d.11N~ . OA.<JW- " <br /> <br />PERI-lIT OFFICER. <br />