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<br />APPLICATION FOR PEmlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />~~?-/ <br /> <br />APPLICANT aA( e: tg'~5'~-;;/. ... <br />ADDREssj<---::;riA., ~e/~(/!J L/CJ7. ~E 0~~~;:IY~.35t~ <br />OWNER /l t:?H/l~ - /)1'5A jYJf/J ~4//-'7 //:/I/L <br />JOn LOCATION ~ >? 2--/ ~ A/I t5 bLJ ~ <br />LEGAL DESCRIPTION: LOT(S)~// (1 Iff BLOCK 1;:--- SUBDIVISION <br />----" " . <br />C/1Z/1/~ /e?~~~' Z-o/ j~{-"~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />PARCEL 1. D .l~ <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration ____Repair ____Install <br /> ____Sign/Temp. _Sign _~love ____Demolish <br />PROPOSED USE: __Single Family _M/F _i~ of Units , .____M I 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 FORl'lS.** <br />A TT ACH (3) SETS OF BUILDING PLANS & (1) SET EN ERGY FORl'lS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~F.RMTTS REOUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />(ft/~ <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 /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-- <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 />signature <br /> <br /> <br />SF.CTION <br />Compaf'Y <br />State Cert. or Regist. # <br />City License RegL~trat.i.on II ~1?'":.-<-- <br />* ** * * * * ****** * -I< * * * * i,.., ..,* ..,*.., ie ie i, ,', .:, ,', i, i, ,', i, ,', * J \ <br />d/ . c.~ . <br />Company L.L-r-rJz~/.A 7t2.~/\-.e <br />f~"1 ~ ;~~~\:~~~~eO~e~~~~~~~i~O " 4"M " · <br /> <br />**** ~ ********************************* <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration fl <br />****************************************** <br /> <br />PUJMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration t <br />****************************************** <br /> <br />MF.CHAN1CAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration 1 <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~* * * *********; * **** * * * * * ** i, 1,.., ,',..,1, ,', i, ,', ,', ,', * ie * <br />/1 A1. 1\___ 8 _ -{J. t?A Al...,,;J .' <br /> <br />PER~lIT OFFICER. <br />