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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />" <br />APPLICANT ....)Q ~A.) B~Ax'rDN <br /> <br />ADDRESS i<T \ ~'1 5\~ })A\\41O\1O A L <br />\ <br />OWNER \. )D~~ b"'f\)(\o..J <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br />.s--l3 b <br /> <br />g~ ~\ LOT SIZE_~ AREA SQ.FT. <br />t <br />/3 l:1L/ BLOCK IIq SUBDIVISION 0,."., ~F ~~~HILLS. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.# <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 />____M/F <br /> <br />____4~ 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 />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 REOUESIED <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 />$ 0l7a.:5- <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 />:::::~AN Company E"l>M~~ ~~ E A \ r <br />. --~ . ~f(2 A . _ - ~~~~eL~~~~~e o~e=~:~~~~i~n ~<!- /t~OOl/ql <br /> <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MEClMBrc~ Company ~"\"->'11E'Sr AL 0f>Al'r~c.."'i'. ~ <br />) State Cert. or Regist. # <!A~ !)~q~g:t. <br />Signature . Y l City License Registration # 9-" <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br /> <br />... <br />