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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT C;;/~Y/~- COLe-- <br />ADDRESS C;; r::;/h' &./~f~- ~ L1 <br /> <br />hk~HONE <br />- <br /> <br />7~>f'~3495- <br /> <br />OWNER <br />JOB LOCATION S~O/ /~~E./ .P.tL: <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.I~ <br /> <br />;;L-;lh <br /> <br />a-/ - / - <br /> <br />7'S--O <br />~ <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Repair <br /> <br />/ <br />-,--Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF 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 -2.~, <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 />_MECHANICAL <br /> <br />$ <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 />BUILDER ~ <br />Signature <br /> <br />~::, <br /> <br />CONTRACTOR SECT~ ~ <br />Company ~.rc....K!. S ~L, t/ ~' <br />State Cert. or Regist. 4F X ad se-14 <br />Ci ty License Regis tration IF '2-- <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration 4F <br />****************************************** <br /> <br />ELECTRTCTAN <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. IF <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 />APPLICATION APPROVED BY <br /> <br />7i:;~'~;;~""""'.""'" <br /> <br />PERMIT OFFICER. <br />