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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />LtJ:.",,2--' 4EJ <br />~ r r//- <br />ADDRESS OJ /0 .5"' 3"1 <br />OWNER d/tSL/ 46-5" <br />JOB LOCATION ,~~ ~~r <br /> <br />PHON~J) 7"J- JelltJ <br /> <br />/Jb~tK <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D..t <br /> <br />~stal1 <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />~/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 />____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 REOlffiSTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />~CHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />1~?r/ <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Silnlature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MF.C1IAlI)"C~ ' Company /9~A')V&e. -:il: {[J.jj/ <br />~ State Cert. or Regist. # ___ _-~___/6 ___ <br />Signatur ~ City License Registration 4~ <br />- -.- ~......................................... <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />