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<br />, <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT M {2 r V }'Vl --rh~ WIt {o$ 0 ).''" <br /> <br />ADDRESS. ~~~ I~ I <br />OWNER t /( /iZ. t.--- <br />JOB LOCATION 5 1 2 ~ I Y fA ~~, <br /> <br />PHONE <br /> <br />1f'2. - 7~q4 <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. IF v J 1- z. b - 2- ( . /}i) i 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:_New Construction <br /> <br />')DOCD L){) I~~ <br />~ddition '_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 />_# of Units <br /> <br />._H/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: Jl'r' X ,24' . <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RES ID ENTIAL.: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. ,H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~ ~, <br />{)6 .- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.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 />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <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 />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY Jlf::r';;~'~~~""""'*'*"""*' <br /> <br />PERHIT OFFICER. <br />