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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.. .. <br /> <br />APPLICANT <br /> <br />) <br />*t?l?zAT \J----/.e: ~p.fJS <br />-J-Z(j'-J--- If ~ \J/ <br /> <br />('tJ J.J/u/~ J..), <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br />JOB LOCATION '\J- {.:?..J - / 9-p,f $T <br />LEGAL DESCRIPTION: LOT (S ) if /f <br />PARCEL 1. D. # /,7 t ~ - ?0 /7J. / <br /> <br />LOT SIZE_X <br />BLOCK /tJ7 SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> ____Sign/Temp, ____Sign _Move ____Demolish <br />PROPOSED USE: ~Single Family _M/F _# of Units ._M/H <br /> _Commercial _Indust. ____Swim. Pool S~)C[ l/~(jIU/j)LOther <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 FOR~S,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS."'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING $ <br />~ELECTRICAL /Pd <br />____MECHANICAL $ <br />_PLUMBING <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />/\ Florida Power Corp. <br /> <br />_W,R,E.C, <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />a <br /> <br /> <br />Company <br />State Cert. or Regist. # .f.lZ.l~bC)'<J-'-/-J7J <br />City License Registration ~F 4- <J <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Signature <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 />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************** <br />cu~ (('j\~'f),^"'J <br /> <br />PERMIT OFFICER. <br />