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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br />ADDRESS 3<1'~ ~O 1M'wc/ -:;r .f1 ,.u~'t- tLlIp <br /> <br />OWNER ~ ~ ~ 0 _1I7It~ <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.iI 'Z.-?'tt=(OL~Zk-~-\-SO-3) <br />WORK PROPOSED:~New Construction ~ddition ----Alteration _Repair _Install <br /> <br /> _Sign/Temp. _Sign _Move <br />PROPOSED USE: _Single Family _M/F _~~ of Units <br /> _Commercial _Indust. _Swim. Pool <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: I~ xlY f0C{ Square Feet, # ~?/ <br /> <br />_Demolish <br /> <br />_M/H <br /> <br />Other <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 />~UILDING <br /> <br />PERMITS REOUESTED <br />$ ~ CJ -.5-0 ~ ~ 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 ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />:1?-? A iJ)- <br /> <br />ELECTRICIAN Company <br />State Cert. or Regist. # <br />Silffiature City License Registration # <br />****************************************** <br /> <br />PLI~RER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration ~~ <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />