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<br />APPLICATION ~'OR FERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT C/O/J~{1J~ ("1JNTn/fC.-17Nb' t ~W'. <br />ADDRESS 5720 CD,q.vv 6LUIJ Sif( 7fi- #-/ 'Il) <br />OWNER /2- {}/ I2.J 6/i.lVrS " C( ;:ZJW Iti IUltLlS <br /> <br />JOB LOCATION 38 tis S17f I}1/'€- <br /> <br />::C/I./G ... <br />/ <br />PHONE $/'3 -782 --7tr J7J <br />II <br />~~~"OJm/Y1~ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ,FT, <br /> <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D ,l~ <br /> <br />VZJ <br /> <br /> <br />o <br /> <br /> <br />_Sign/Temp, <br /> <br />~ion <br />Sign <br /> <br />_Alteration _Repair <br /> <br />_Ins tall <br /> <br />WORK PROPOSED:_New Construction <br /> <br />_Nove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_l~ of Units <br /> <br />,._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br /> <br />V<::DlNG <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PRRMITS REOUESTED <br /> <br />$ b () JJ If 7ft/) <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 />Signature <br /> <br />~ CONTMCTOR SE~~ <br />,Company p~1UJ1l1 ~tI'o i IJB/. <br />~^ , Id ,e~ State Cert. or Regist. i/ CGco/flb/( <br />Ci ty License Regis tra t ion j~ 2f;/ <br />****************************************** <br /> <br />BUTLDER <br /> <br />Si!Znature <br /> <br />Com1?any <br />State Cert. or Regist, 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, ff <br />City License Registration 0 <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 />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, # <br />City Lic~nse Registration 0 <br /> <br />.-~ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />