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<br />APPLICATION FOR PE~IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,<1M <br /> <br />APPLICANT [) 11m (fo /V If EFR; J ~ i?/?0/IV <br />ADDRESS 9. Oi G30y ~g .1111/f/jt3"/ I'l / <br />'~J- C! '~ <br />I I ~ C-r;J /VU- <br />IfJ/- f/; ~ <br /> <br />OWNER <br /> <br /> <br />\j ffK - <br />PHONE 8/7 - 6%'(-5" 'f'-{ ~ <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.iffr L - 2-~- 2-/ -I 4-- -t>-/ <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration _Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />____M/F <br /> <br />____ifF of Uni ts <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 FOR'oJ:S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL ~ AMP Service <br />, R~FRi9~lIlrrfP', <br />~CHANICAt. $ If; 'cJ ~; W <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. U Company D #/>1 iP"I'" iPr-r'/f/)'G'tf'~;[.,,_-~ <br />;) State Cert. or Regist. I,! C ACt?> 9' ~-z..-/ <br />Signature (~C/ ~{;ity License Registration 'F 1/1 <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />