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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />,L-tJ <br /> <br />/) <br />fr /)1// ;Vi <br /> <br />/) .' <br />a. {) [;/7;vt.::. . <br /> <br /> <br />;fL~ j 7; <br /> <br />OWNER <br /> <br /> <br />Ii!. CJ 7 <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />1).1- <br />(; -- )/ <br /> <br />.2 -/--/ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~t <br />WORK PROPOSED:____New Construction ----Addition ~lteration ~epair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____S ign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____~~ of Uni ts <br /> <br />.-M/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />----Eestaurant & 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.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />$ <br /> <br />~9l) ()f) <br /> <br />AMP Service <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />i <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAlIONS: 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 />SiQIlature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />~~ 7 - ****************************************** <br /> <br />OTHF.R ,/~, ~/L--~- Company &-/ii/, t/' f'c1iJJ/r/f' <br />Ii < State Cert. or Regist. # KL (JoCjt 2 '7/ <br />Signature <""- t:"-- City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />********************** <br /> <br />PERMIT OFFICER. <br />