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<br />~rf: ~~er <br /> <br />fPPT,TCATION FOR PERMIT <br />~C" 1)9Pr:-f ~CITY OF ZEPHYRHILLS <br />f -. BUILDING DEPARTMENT <br /> <br />APPLICANT fll/'~~ 0 C:a2-j . <br />-IJ..' 'f / , ,a) 11/ <br />ADDRESS ? J- / l~C i#t :wtrLlf.,1, 9-/ ~3 PHONE <br />OWNER <br />JOB LOCATION ).:1/:} ~~C.ot: -Ul . LOT SIZE_X <br />LEGAL DESCRIPTION: LOT(S) ;7(; I' BLOCK SUBDIVISION <br />PARCEL 1. D. ~F / F (j :-. S I Jf ;J c T '1 ~ L /6 - ,J b <br /> <br />7>5 f?- ~/5'(;') <br /> <br />AREA SQ. FT. <br /> <br />~ie~k~v~~ <br /> <br />- d/ ~ () ~6/ () - () r '10 () - u 0 00 <br /> <br />WORK PROPOSED:~New Construction _Addition -4Alteration _Repair _Install <br /> _Sign/Temp. _Sign - Move _Demolish <br />PROPOSED USE: ~single Family _M/F _# 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 />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 />, I <br />--LBUILDING <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 />TYPE OF CONSTRUCTION: _Block <br /> <br />ROOFING SPECIALTY <br />_Frame _Steel ..jj..;l~k"ll/~~r1'fther <br /> <br />_PLL~BING GAS <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />(jJ'--({ /v\...~) <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, # <br />6,) ~) City License Registration # <br />, <br />****************************************** <br /> <br />Signature <br /> <br />/~ ' J!.' ) <br />? ;'-J1rtAX; It <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLL~BER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************~************************ <br /> <br />fi OA'Lt',~ _'X; ~ <br /> <br />PERMIT OFFICER. <br />