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<br />.- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />.S~L74i!~1 'o~ /I~"F'~,,'.c?q ~ e;O~~9 ~ /- ~c <br />, v <br /> <br />ADDRESS ;;lIY / ~~y /~.5' ..s-rRee7'- cJ~.M.,.-e ~t1 ...Yt".6"7~HONE 3$"'1'- jllr? ~ 78.7 -75"0' <br />OWNER A~,( C~ 9"# <br />, <br /> <br />JOB LOCATION .5"607 /6'''''''5/ Zy/~//./"/.6 r~ .7..bY'1 LOT SIZE_X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D .it <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install <br /> <br />____Sign/Temp. ____Sign ____Move ____Demolish <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_4t of Uni ts .--M/H <br />_Swim. . Pool .A~ C'.t"'1f! 6Jqr- Other <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <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 />$ .185"0~ <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**************************************~*** <br /> <br />BUTT.DER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registraciuu " <br />****************************************** <br /> <br />FT.F.r:TR1 C1 AN <br /> <br />--..".--.-" <br /> <br />.,.-------:. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />PLUMJ3ER <br /> <br />Signature <br /> <br />Signature <br /> <br />~~ <br />. <br /> <br />Company 5i.:/~~I'O~ ~//~ ~a,C'4;w.9 ~r~C', <br />State Cert. or Regist. IF t:"'/fcofl''I ;;1'7/ <br />~ City License Registration IF <br />*****************************************. <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************ <br /> <br />~.A<J ~~ <br /> <br />PERMIT OFFICER. <br />