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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Y'\,ose I \ 0... !)f/ ~ pS-Z'j <br />ADDRESS 513 1 q b ((")G\d vV)OO{~ )T(~Q <br />OWNER ~f).5.~ \ I G\. Ve-rv/ r se->j. <br />JOB LOCATION S~ 1 g D ('"'0 n.JrY)C)ore <br /> <br />~ VI'\ lOt i~ ' <br />n/2. PHoN~-=--:l <s C) - Co 0') :\ <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.~~ <br />WORK PROPOSED:____New Construction ____Addition ~lteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />__Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />____~~ of lIni ts <br /> <br />,.jCM/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim.. Poo 1 <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 3-xd<j , <br /> <br />Square Feet, <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 />~BUILDING <br /> <br />PERMITS REOUESTED <br />.~ ~5o . 0 0 Valuation of Total Construction <br /> <br />$ <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 />.... . <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 SECT~N , <br />. Company _ C+l 0 n A l Ur'YJ; n V r<) <br />State Cert. or Regist. # <br />City License Registration j~ '1 C) <br />****************************************** <br /> <br />mJILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />f,LECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAT. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />.~::::.~~~..*~*******'***** <br /> <br />PERMIT OFFICER. <br />