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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTr-lENT <br /> <br />APPLICANT <br /> <br />hl?5rr- <br />6,510 <br /> <br />Pk S;:t7;eX ;JW <br />I 'I s;rr:- <br /> <br />(Ifv~ <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />,1 g :}"7 cf I:J- <br /> <br />. <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____i~ of lIni ts <br /> <br />, ,____M / H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />____Swim., Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant & Health Department Approval <br />I). X t70 fUFf'O '&'~'fJ Square Fee t, <br />, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM!-1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOIU1S. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H: <br />**COPY OF CONTRACT REQUIRED. <br /> <br />:ff.RMTTS 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 <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />,c' . ~ /1; "f( ~/d9;?WRACTOR SECTION <br />nUIT.UER 0d14 <> '''L~ ItUI /..", ,~tjompany <br />~ ~~. State Cert. or Regist. iI_ <br />Signature :- Y-~ .<)-t<<~: City License Rer.istretion " - <br />** ************************************** <br /> <br />77 <br /> <br />~ <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. !I <br />City License ReGistration !I <br />****************************************** <br /> <br />f,T.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration !I <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. !I <br />City License Registration ~~ <br />****************************************** <br /> <br />MECHANTCA1. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ~ <br /> <br />OTHER <br /> <br />*******Vl**J*~*;h:*~;*1:**J1::;:;'~;********** <br />APPLICATION APPROVED~Y __~i'~_tL,,- p-rJ~ <br /> <br />PERl'lIT OFFICER. <br />