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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ])1\tJ l D <br />ADDRESS Tt b D 3 <br />OWNER .DAv \ D <br />JOB LOCATION Jg.f; 3 'f <br /> <br />1AMa <br />YDuNG <br />~~M. E:l~ <br />.l1J.}) <br /> <br />MDIZE l-- <br />]).4.. 2 . H 11..f..,S <br />MeR e: L..- <br />AuE <br /> <br />PHONE <br /> <br />7'1.2..- i7bt.{ <br /> <br />., <br /> <br />LOT SIZE~X 90 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />AREA SQ.FT. bJ 00 <br /> <br />Z Ell II "A.. H 'LI..S <br /> <br />PARCEL I.D.~F II.... ~ - 2J - DOL 0 - J...D1. DC - C.1l S- <br />WORK PROPOSED:-2l-New Construction ____Addition ____Alteration <br /> <br />____Repair <br /> <br />____Ins tall <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Units <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 />~ I <br />t/ X 8 , <br /> <br />JL <br /> <br />Square Feet. <br /> <br />'7 foo~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~UILDING <br />____ELECTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />J 509Q <br /> <br />Valuation of Total Construction <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 ~Frame ____Steel <br />J " <br />FINISHED FLOOR ELEVATIONS:? ~ <br /> <br />,0 the l' <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELFCTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLlJMBFR <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 Gert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br /> <br />.~.-;~!<.d"~"J'.'~,t, Y,?i::;::;::::r..:: II <br /> <br />.' t.PYJ-~4~. . ~~~((]; PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br /> <br />~ <br /> <br />au ~ " <br /> <br />- <br />