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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 2h~1tlJ~ /#. tJ ~ <br />ADDRESS /;23 '1 ~~~~/l.--~ ~ . ..2-~, FR. <br />OWNER lV~ l/ " ~~ / ~ <br />JOB LOCATION 1~37 r~~~. 7.-~fl LOT SIZE~X 1h AREA <br />LEGAL DESCRIPTION: LOT(S) f'~L..()a?f'l~~VJ...--9 BLOCK SUBDIVISION tl/pA.CL <br /> <br />PHONE <br /> <br />~~!'--1-fjo9 <br /> <br />SQ. FT. <br />Y JLtc4<- t;J:~ <br />(J <br /> <br />PARCEL I.D.4F 35"-25 -.;2.1_ t)o5o -- OCJC)oo~ CJ500 <br />_. / /;2J116,,17or1 fl1f.7f.tz..,.J- ~M~ LI,v~5 <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~-.Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />____4F 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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. 'H <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 />_W,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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SiQ:nature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration 4F <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br />Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />