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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~APPLlCANT~~'- A. F~~? - lV!',:f3.YAl'~~) 'NC. <br />1"ADDRESS '8i)'t4-- N. Sb'\i, ~-t"' ;1eMl'tE::~R~6J :33"-17 PHONE b~\3) <br />-f'J OWNER /" ~~.er Llb,-p <br />~OB LOCATION 51!l7 l'otb,.~T <br /> <br />~8B -I ~()O <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SLOCK <br /> <br />SUB9IVISION <br /> <br />" -FARCEL I. D . iF <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />;< 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 />)\ Commercial <br /> <br />____M/F <br /> <br />____~F of Uni ts <br /> <br />.____M/ H <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 FORMS,u <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />~ _BUILDING <br />}l ____ELECTRICAL <br /> <br />$ \~O <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 /> <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 />7\ BUILDER M:e,. ~ec;J \klG. Company M, 'S. W-M~ 1f\)L.. - <br />State Cert. or Regist. iF' C!-<2tc...O ~4910 <br />Signature City License Registration # <br />****************************************** <br /> <br />-f., ELECTRICIAN N. '\3, 4-~~~ <br /> <br />Sil!nature <br /> <br />Company M . ~. oH/t(\~, I r-L, <br />State Cert. or Regist. iF 8i?DDtt1<a I~f) <br />City License Registration # O~ Iql1 <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signa ture City License Regis tra tion 4F <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br />~'.~. . ~ .t i' \1 ~~4':'~'~ L ~r. t': :: .,.. ~~ ":'";:',,~ <br />';5,;,; :'J-~, ':: .';.'~_ r"r"",":\t.., <br />