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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ''If:- 7;~.. ,..,( . <br />I <br /> <br />ADDRESS ..3 J' ~7 ::;-'2- <br />- <br /> <br />;.~ /\' <br /> <br />G E ~ A) D I iii /':: if? l~~:'/>') A)(~ <br />PHONE 7..?:1- - y~// <br /> <br />~ / J" ./1 ~ ; <br />// CA-l'.t'L.v.- I ."'v,,, <br /> <br />OWNER.5 <br /> <br />~.----" <br />I/~' 1,,[# '--'-~ <br />..-. ...--". . ) <br /> <br />/ /.IA~''i <br /> <br />~ \,:~ ,~..r . ..1"'~.'.>:., ....,._ ..,,":( <br /> <br />JOB LOCATION ..:.'39"1 "5- ,:2..2//", /,," /. <br />YLEGAL DESCRIPTION: LOT(S) \ <br /> <br />'.,f ,"I' ."~' <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br />WORK PROPOSED: Y~ew Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____IF of Units <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 />it"! <br />(1/ ~, <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 />/ <br />~BUILDING <br /> <br />PERMITS REOUESTED <br />$ J c:::ro- -- 0-0 Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____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 />CONTRACTOR SECTION <br />BUILDER tJ t-t/ /r /' ,l.' Company <br /> <br /><ZJ ,,c',, .d //,/ / State Cert. or Regist. IF <br />Signature~.:et.d'td'.{i><( // ( 'L'~-t-4"\-. City License Registration if <br />****************************************** <br /> <br />F.T.FCTRTCIAN <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLlJMBER <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 Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regi~t. if <br />City License Registration iF <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />