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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />5'~ f);' 0/ f:' r. ,-1:" <br />~ t}~ ~ ? 'il V (I/o( G AI ~ J .. <br />OWNER 'fh=A/ II" " <br />JOB LOC~TION I Ih ~ /).. A + <br />U <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. 4F <br />WORK PROPOSED:____New Construction ~tion ----Alteration <br /> <br />____Repair <br /> <br />_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 />____4F of Uni ts <br /> <br />__M/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant & Health Department Approval <br />) S .R 1I. ~ "t:.s Square Feet, <br /> <br />x <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 />30 <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~da Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_BUILDING <br />~RICAL <br /> <br />$ <br /> <br />~ECHANICAL <br />~NG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____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 4F <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRT CI AN CCif If J~ ~d" _ E.-I € & . Company <br />ct ..r1~ State Cert. or Regist. 4F <br />Signature ~... L ___ - .../ City License Registration IF <br />****., **************************1,***** 1,** * <br /> <br />PLUMBER r..PI ij rJ"Rd 19.A.1 E-/E t!.--~ Company <br />t1~ f\ ~ State Cert. or Regist. iF <br />Signature L -~ .... - . -z.../ J..... J City License Registration 4F <br />*** ************************************* <br /> <br />...38'" <br /> <br />a? <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. iF <br />City License Registration 4F <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br />l ," : <dJ~~..~~I.c), P01;) f <br /> <br />f 'to .. . '.' . '. , <br /> <br />************~************************** <br /> <br />7( AAUfa O/}~ <br /> <br />:~' : <br /> <br />PERMIT OFFICER. <br />