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<br />APPLICATION FOR PERt-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT /5/2/0 W IV ~""'.If. h c.. .sp,,-/-v k ICA-J ~c. <br />ADDRESS ;:;?.t?/.:;J ;J, 3g~7_ r~,4 FC-;I.:r~PS <br />, <br /> <br />OWNER GAf-..s;-!- P/~..s C o',/1'1/;;o/ ) c ,-1 <br />JOB LOCATION 70S-a (;.._/1 ~/cJ,-..,I_ <br /> <br />PHONE B /:.s t.. z / Z- 0'7/ <br /> <br />LOT SIZE_____~ AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D .1F <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration _Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_rlove <br /> <br />____Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />____l~ of llni ts <br /> <br />.____1'1/ 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) PLOr 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 /> <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registratic)n # <br />****************************************** <br /> <br />BHILDER <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />*************************************~**** <br /> <br />pj,lJMBER <.// <br />Signature ~~~ <br /> <br />Company g/2.0.....- r-' ~ <br />State Cert. or Regist. # <br />___ __ City License Registration <br />****************************************** <br /> <br />~ ""...Ie-, :z::.-, (' . <br />...5''7' g 9 rg 900<..") /5'0 <br />:j 58 () <br /> <br />MECHANICAl <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration :; <br /> <br />Signature <br /> <br />****************************************** <br /> <br />QTRER <br /> <br />Signa t\lre <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PER~ln OFFICER. <br />