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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT aeJ::hl d/l{4t.-6(./:;Lyu/,,-, d ~,< <br />ADDRESS 6';{%O c. ,J)AaA-+A.;./a <br />OWNER JIf-~ 2~ <br />JOB LOCATION 2 ~ (., tj, au!. <br /> <br />PHONE <br /> <br />1cL(7-/~ ~ ( <br /> <br />LOT SIZE_____~ AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. #t <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <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 />____# of Units <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 Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'IS. "'* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$~Y9S- <br />. <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_____\-l.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLlmBING GAS <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />ROOFING SPECIALTY <br />_Frame _Steel ,tI;"eJ.,J"':'JOther <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUTtDER t?~/J~/H.A'A <br />Signature ~~~_ - <br /> <br />~QNTRACIDR SF.C~ 6- ~ ' <br />Company 'A-'J "/'Yl/VI/V( -ULJ <br />State Cert. or Regist. it 7 OC:1ffeJ <br />City License Regist.ration it ~ 9~1 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />********************************~********* <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAl <br /> <br />Company <br />State Cert. or Regist. # <br />City License Regis tration " <br /> <br />Signature <br /> <br />****************************************~* <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*...... *... ~ ... * *...... * *~* * ... * * * * J~ J.- * ,', ~t. -'.. J.. oJ.. "'.. .'~.1. oJ.. .... ..... .... ~'. .!. .... ..'.. .... <br /> <br />n~A~ ., ~A~.).' .......H <br /> <br />PER~'IIT OFFICER. <br />