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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT K e II V 'J ;vJ ,I} LA 12 (r: Y <br />ADDRESS 5 ~ 31 ~TtI 3/ zzttIYl..H-I/L5 3.35''/GPHONE <br />OWNER KE/I'! T A/tUt!-KcY <br />. , <br /> <br />JOB LOCATION $'6 -3 ( gTIf <1/ 2~fHYIII'/I!oT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK- <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# Ji-l(o.-21 OD{O - 0/300- otic) <br />WORK PROPOSED:____New Construction ____Addition ~teration <br /> <br />____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____4~ of Units <br /> <br />_____M/ H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />11/ '1. J-I <br />BUILDING SIZE: 7 / X~O .3 ~ I {'D Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTR~CT REQUIRED. <br /> <br />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ /j CJ?rlJ ~ cr'D <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 _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 />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si2nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />******************~*********************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <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 /> <br /> <br />~ O/l~ <br /> <br />PERMIT OFFICER. <br /> <br />.... <br />