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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~)Ii\ j.,j Aller">> <br />ADDRESS S-S I g J I tL-. s+ <br />OWNER JlM'-0 tJ A/L~,~ <br />JOB LOCATION ~S-18 -' I S~ LOT SIZE JO X ItfD <br />us", SoaIL L~ ru.:R., , I <br />LEGAL DESCRIPTION: LOT (S) / 3-~ s M "t"' J f~0.I'BLOCK Jt 1 SUBDIVISION ^-, A <br />, <br /> <br />PARCEL I.D.# II - ~,- .::LI <br /> <br />PHONE <br /> <br />'1r~-7)/]J <br /> <br />AREA SQ. FT. 'l/WD <br /> <br />WORK PROPOSED:~New Construction ----Addition .----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single- Family <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____~t 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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />~BUILDING <br /> <br />$ <br /> <br />~I>()~ <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 oJ: 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 />BUILDER <br /> <br />Signature <br /> <br />Shmature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />F:LECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMRF:R <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 />APPLICATION APPROVED BY I'l~~~~ ~ ,~~~ <br /> <br />PERMIT OFFICER. <br />