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<br />APPLICATION FOR PE~~IT <br />CITl OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT -J. /l2-, ?;Q'e. p ~~ <br />ADDRESS "l12-'1 ~ jr?$" ~ I 2#YPHONE <br /> <br />OWNERd'~'~~ <br />JOB LO TION 17 - . / - ~t-LOT SIZE_X <br /> <br />7~~?-Z.3 ?--- <br />/ <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4F <br /> <br /> <br />WORK PROPOSE <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: -1l-Single Family <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />-X--MECHANICAL <br />_PLUMBING <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ /7091 ??-Lf <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_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 />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration 4fr <br />****************************************** <br /> <br />ME CHANJC:X ~ Company j}. ~ ~/"jjr'YJl-~'AY~ q.- <br />~ State c~eg~st. ;,!__02___.:4-_ <br />Signatur . ~ ~7 l City License Registration#2.. <br />, - .......... ......................*...,...* <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY )11*~~:;:***~~~**************** <br /> <br /> <br />"~---"--"""~,,,<,,~,,,",,,,~,,,,,. ..,,~ <br />'~.; r;':.; ~-r~ <br />1':41\"""'$, ~~"', <br /> <br />PERMIT OFFICER. <br /> <br />.! ~o; ;~-1- J <br /> <br />!"''!:J ....." <br /> <br /> <br />IT ..'", <br />....... ...._:; ,.::,,<:" ' <br />_"_~1IP~ :~(t",' <br />f:);3"... .,"'ll'l......-....l <br /> <br />,~;:;";; , <br /> <br />R ............~-,........._~. <br /> <br />~,.=, -~')'J~:. "r:! ~~'_'$;:."t' :.~;.:ti'./ <br />"f:;,~ ":' .:J .;;j;'. '<,. <..~,~ <br />