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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARniENT <br /> <br />JOB LOCATION <br /> <br />70 t, ;1 rJt..1J 13 I T7) .., <br />3 <3'~ q ~ LA-M :~ IbIl/ 1hi';Z' <br />'5' 11-7't r <br />S',1T1t, <br /> <br />PHONE <br /> <br />"7!5;;L- 9~11 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE~'{/(/!) AREA SQ. FT. <br />V SUBDIVISION It-LPtHf /;LLfit.)E, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />PARCEL 1. D. i~ <br /> <br />3';- ,).-5 21 <br /> <br />fl3 sA- <br /> <br />dVa~o <br /> <br />1~0? <br /> <br />WORK PROPOSED:____New Construction ~ddition ____Alteration ____Repair ____Install <br /> <br />____sign/Temp. _Sign _~love ____Demolish <br />PROPOSED USE: ~ngle Family _M/F ____i~ of Units ,_____tilH <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 />COM1'lERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS 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 />_H.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 />Signature <br /> <br />~ .. co~rRACTOR SECTION <br />d ~1("'(!If~fcompanY <br />. State Cert. or Regist. 0 <br />. .' e 4 , ' ' City License Regi~tration ii <br />****************************************** <br /> <br />BUILDER <br /> <br />77 <br /> <br />Si!?nature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration 0 <br />****************************************** <br /> <br />El.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration i" <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />QTHER <br /> <br />APPLICATION APPROVED <br /> <br />~**********~************************ <br />BY _ _ 4.....(.% ' /ZA.....I) A} , ' <br /> <br />PERHIT OFFICER. <br />