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<br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~~A-#~ O'77ft/U/ <br />~ P-J-=-;; t}~fJ/A _/ YD <br />CEf<.NY JOSEPH /l. 0/ CA-rIiERINE AI <br />JOB LOCATION SSJl. 0 - ~ ~ S T <br />LEGAL DESCRIPTION: LOT (S) :L { ci J.. ~ <br /> <br />PHONE <br /> <br />7 g" c1 - ;J. Y'd.- J <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE X AREA SQ.FT. <br />g' rl ~ /3'8.z per?t "/-7 <br />BLOCK <J SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />~teration <br /> <br />_Repair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction ----Addition <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />~emolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_4~ of Uni ts _M/H <br />_Swim. Pool \...Si/h'/,=E. tfA?~~ther <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS 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 />~ECHANICAL <br /> <br />$ <br /> <br />Valuatiod 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 />BUILDER <br /> <br />Signature <br /> <br />:::::::::AN Company <br />~ State Cert. or Regist. 4~ <br />. ~ City License Registration <br />/ -- .****************************************** <br /> <br />~Ol5.f'"f-t7/ <br /># ",:1 ~ <br />, <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 />OTHF.R <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~***********~*****,'******************* <br />d./1t. ~ ~ _ <.. A~ "r' <br /> <br />PERMIT OFFICER. <br />