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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />-;!} ,j) U~~ I AtUfF>1 ~-P <br /> <br />ADDRESS <br /> <br />OWNER 52 JJ D <br />(/ <br />JOB LOCATION 3 7 / 5 3 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />r~ n:--t:~ p <br />- <br /> <br />~ ~ BLOCK <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION <)~... /'~./ <br /> <br />PARCEL I. D. iff <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 />____ifF of Units ._M/H <br />.---~ <br />_Swim. Pool }/J[Y. (i;Z~ Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />_M/F <br /> <br />_Commercial <br /> <br />____Indust. <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 FO~lS. *,~ <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 />_H.R.E.C. <br /> <br />____MECHANICAL <br />~LUMBING <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />L--.-SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />~/ ~_I' dr;J -"If '0 /J State Cert. or Regist. 1ft <br />r~ I" 2. ,.,e.,JA:. r?~,L~,J::::.cr City License Registration if <br />* **** ** * *** ** *** ** * * * *~, * *** * * * *-{, * ,,: ** * of, * ,', <br /> <br />.3 '-f ( <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />s~~ r~ d- <br />;T /:IC?~ /1<:1 me Wt~ <br /> <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />d-- s~f3~~-n <br /> <br />?n. ;?n-z <br /> <br />?~~~ <br />