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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />/ <br />:r~/"f-~ L9~t!,-9.s ~ ~( <br />.~.s-O / e~c4t-1Jt?e CJ <br />A:JOC'"-M..9/~./ M;ve 45 f" <br />JOB LOCATION 3J'jJr #(1~6.)0t9/ LC>V<J <br />7( <br /> <br /> <br /> <br />PHONE <br /> <br />7,-3..., c: v3Y <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE ~X ~ P/ AREA SQ.FT, S-J/?t' <br />SUBDIVISION /Ie .4~N ()(J / ~ /itfl'"'..f <br /> <br />PARCEL I,D,# <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Alteration <br /> <br />____Repair -XInstall .. L <br />/Iff Ih'J l ;:;;tJe" € C <br />____Move ____Demolish <br /> <br />____Sign/Temp, <br /> <br />_Sign <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_4~ of Uni ts <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 FO~~S,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ",* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />~ILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />~S-IJ. an <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <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 />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 />****************************************** <br />APPLICATION APPROVED BY ,J1~;{ ,~L~~ PERMIT OFFICER. <br /> <br />, <br />