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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT -j('uJj~ ~ <br />ADDRESS /p'c. 8&>)(. Clef:2 Jj~ <br />OWNER !Yl.e1j-~ {J~ 0 A <br />. <br /> <br />JOB LOCATION :1 QO-tl'1 <br /> <br />.1.5:>.1 ? <br /> <br />PHONE 7 f ~ - /oCj,f? <br /> <br />(p tIl ~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />LOT SIZEtoO X JJ$& AREA SQ. FT. '11 ;5Jt <br /> <br />SUBDIVISION S ,./.;) ~ 11..1 u.J . Sw Dr ;J E rnB ,:J.. <br />. f>Cj I (p I/l. ( e K c. fA.) too ~I b F <br />- QO 100 - (:) D 10 I\J 1..3 ~. (0 PT I C K'C <br />. <br /> <br />BLOCK <br /> <br />PARCEL I.D.# <br /> <br />l:l- .J.~ -021 ' DDOlA <br /> <br />WORK PROPOSED:_New Construction -X-Addition _Alteration _Repair _Ins tall <br /> _Sign/Temp, _Sign _Move _Demolish <br />PROPOSED USE: ~Single Family _M/F _4F of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool << " ~ Other <br /> <br />BUILDING SIZE: <br /> <br />_Restaurant & Health Department Approval <br />I I (J <br />g' X L;1.. , 7 ~ Square Feet, <br /> <br />4i II <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />-LBUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />.-C.-PLUMBING <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 />/t <br />FINISHED FLOOR ELEVATIONS:J... FT . <br /> <br />Other <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 />Sil!nature <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 />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />