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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br /> <br />PHONE <br /> <br />7Y2-)'oHJ <br />. <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PARCEL 1. D. ~F <br /> <br />F <br />~0 73 _~- <br /> <br />9 .3 BLOCK SUBDIVISION fA) r- ell' f-vJ t1 (} J <br />,- z,,-- 2/- 0 I? C) - oo()O a.... 0 l' ~ 0 <br />, <br /> <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />/0 <br /> <br />, <br /> <br />WORK PROPOSED: ~ew Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _l'love _Demolish <br />PROPOSED USE: V-Single Family _M/F _4~ of Units __M/H <br /> _Commercial _Indust, _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />, /J-OV S (1:J <br />. , <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORI-IS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />.-r (/J <br />$ .~ 0 vO .- Valuation of Total Construction <br />f <br /> <br />_ELECTRICAL <br /> <br />AMP Service Florida Power Corp. <br /> <br />~' <br />_W.R.E.C, <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />~rame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />CONTRACTOR SECTIf) , } /' J ."'7 <br />Company l .. 8. /UGv.'Y\ ~N"\,/ LA.' -vj' . /,,/V(. <br />State Cert. or Regist. iF 1f/200l,,-lrL4../ <br />Signature City License Registration iF q <br />****************************************** <br /> <br /> <br />~~ ' ' <br />:::::::::6H~; : '$/1~:f~.~.~........~~~~:;~;;;~:::~:;~;~~~~~~, <br />EI,llMRER ~ ' Company CL'6.if' ~6f't ' <br /> <br />/// State Cert. or Reg' t. iF D S9r~~f <br />Signature _ ~ City License Registration iF /;25" <br />. ****************************************** ' <br /> <br /> <br />****************************************** <br /> <br /> <br />~ Ii " (X (/ <br />MECHANICAl, Company ';cHk,{.(1/~ ~ ( . j7d/ //:')/~' //'7' <br />~ ~_' ~ State Cert. or Regist. iF R/?'//iC!/y,/.;;,-l t:- <br />Signature C"-9 C-;""'_. . ~ :ce-#" City License Registration 4F - / Y <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration ~ <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY -Jf~~"~;="""~'*"{'**"**' PERMIT OFFICER, <br />