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<br />APPLICATION FOR PEm1IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />\ APPLICANT 1b Lfi MA~" 1/ ia~^ ' <br /> <br />~ ADDRESS II _ClX' ~ ~t'? ..ti.;tzuj- PHONE --1!i'v <;665 <br />\J OWNER /6H=:J/hIl~ <br />, <br /> <br />JOB LOCATION <br /> <br />LOT SlZE_X <br /> <br />AREA SQ. FT. <br /> <br />. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. i~ <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp, <br /> <br />____Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____n 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 Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <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 />$ <br /> <br />1600 <br /> <br />cO <br />,~. <br /> <br />pERMITS REOUESTED <br /> <br />~BUILDING <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 />_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 />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />nUTT.DER <br /> <br />Signature <br /> <br />SiO'natnre <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />El.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMRF.R <br /> <br />Signature <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 />DTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~;~';:~~:8f~:;:~"*'~"*********** <br /> <br />PER~llT OFFICER. <br />