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<br />JOB LOCATION <br /> <br />]tA"mt0t(L ~tLJ' <br />~O I : ftr'ht1L '~. <br />'Bcutxu tL W-~~ <br />3D J :, .s () tuJf\ M ' <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />L h~M-rdr~ ) <br />'19Y - q5~- 9 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />( h JIl'i/L- <br /> <br />PHONE <br /> <br />Sfcch'orl) <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.tt <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />_Alteration <br /> <br />(;:P#6t _Install <br /> <br />____Move ____Demolish <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />_tt of Units <br /> <br />, .____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 />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 FORMS.** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />URMITS 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 />_W.R.E.C. <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />valuation#of Me~hanical Installation <br /> <br />~ ROOFINct 9 tJ7] <br /> <br />SPECIALTY <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />~ONTRACTOR SECTIORl) ~ <br />DUlT.DF.R ~ Company rretYLUC "WtC <br />" ~ State Cert. or Regist. it <br />Signature ~a....- City License Registration j~ <br />~***************************************** <br /> <br /> <br />SiO'nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />f.J.ECTRTCT AN <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. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAl, <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />DTHER <br />Signatn~~'~.~ :?~ <br /> <br />PERMIT OFFICER. <br />