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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ M,q-l\> CO"Y:';:>+Q.lK.~00) ~e...... <br />ADDRESS ~'31~S $12- 54- Wes+- 2-h~\ts PHONE-\62--0ELl-5' <br />OWNER ~ (2, N es -t- '\:) ~ LA -e rL <br />JOB LOCATION S"\C\'d-&-- - ~ -\h f\.u e. LOT SIZE'S8.L~3'JCtAREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: Lor(s) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br />WORK PROPOSED:_New Construction ~Addition ----Alteration _Repair _Install <br /> <br />~ign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_~~ of Uni ts <br /> <br />_M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />~estaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMITS REOlffiSTED <br /> <br />_BUILDING <br /> <br />$ <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 />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 ELEVA1IONS: FT. <br /> <br />****************************************** <br /> <br />'I':) C \ \ CONTRACTOR SECTION <br />BUILDER ~'1fV\.b..") ()tJ>--\eV\C'""\'IC~ Company 'R M .v CO(\) .iQI.A-C\-~Q~ <br />~^ ~ State Cert. or Regist. II CJsc -03- <br />Signatu Tl.Jv"o.. City License Registration # -di <br />****************************************** <br /> <br />':!: vV c.... .... <br /> <br />Silffiature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />F.T.F.CTRTCT AN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4~ <br />****************************************** <br /> <br />PLUMBF.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 />APPLICATION APPROVED BY <br /> <br />*************~************************* <br /> <br />/160- ~r <br /> <br />PERMIT OFFICER. <br />