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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,{ - t:i ~ <br />APPLICANT ,." 4./> , <br /> <br /> <br />OWNE?---. I #__P-<:7 . ~~ <br />JOB LOCATION 3xOZZ j/~L .;~. <br /> <br />PHONE <br /> <br />s-~ /" ~5S/0 <br /> <br />~ <br /> <br />LOT SIZE_____~ AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D .IF (1VUu- DO;)' Do -DDDD <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />I L{ -ab -~I <br /> <br />/Ins tall <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____i~ of lIni ts <br /> <br />_____rl / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SIZE: ?/-l0 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 FOR.l-J.S. ** <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 />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />~CHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_____h' .R. E. C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />R'V-'PTT\T(' <br />\,VVJI. ..I...L.1....... <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 />CONTRACTOR SECTION} ~~ - ~ <br />Company . ~lifLA4f. ~ ~ <br />State Cert. or Reg's t .' iF tZ' ~ --:> <br />City License Registration 4~ <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Si!:!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />********************************~********* <br /> <br />El.ECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 9 <br />****************************************** <br /> <br />PLlIMBFR <br /> <br />Signature <br /> <br />MECHANICAl. Company _J/...I'/~;~ 4/ 4:~ <br />A &. S ta to Cert. or R "is t, i! --'22' . -n',-M /-r ;> <br /> <br />Signature/ / y~~;;::************~:;~*:~~:~~~,.,~~~~~;~:~;~~:~'~ S- 3/ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration, <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*~~.,~~****~******~****~~*~~*~~~~~~~~~~~~b~ <br /> <br />71;~~ -~~;'.~~' ... ,.",.. <br /> <br />PERmT OFFICER. <br />