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<br />APPLICATION FOR P~~~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARH-IENT <br /> <br />APPLICANT Oe/6er;u ~. 0//9///9 c ~ <br /> <br />ADDRESS 3 g g 3 if 5 -;z;:. /rt/R- <br />( . <br />OWNER //e It e..vl ~ /f/1,PJ,tP/V'/'f iA/A///J c ~ <br /> <br />PHONE <br /> <br />7?]- 3'7q-CJ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />5et <br /> <br />LOT SIZE~X I J t::J AREA SQ. FT. ~ FcJo <br />BLOCl\.122-SUBDIVISION C; T/ ~'r Ze/#'y/f #//0 <br /> <br />JOB LOCATION pq :J Lf ><4v liVe... <br /> <br />PARCEL I.D.~F 1/ - Z ~ - z. , - t3 t!) / t3 - /? '3 t!'t:J -(!) 0 >0 <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 />_IF of Units <br /> <br />._i'I/ 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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <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 />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <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 />Silmature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />Signature <br /> <br /># <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />