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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />t:d tf:A . <br />A J'- rB. a:: <br />OWNER ~,..A J/J ~A.A. R--<4 <br />JOB LOCA~ 3'7?' (J S- ~~) ~ <br /> <br />APPLICANT <br /> <br />PHONE 7 %~ -- 79/:1 <br /> <br />ADDRESS <br /> <br />LOT SIZE~X /~ AREA SQ.FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL I.D.# .5 - ~ 6 - eJ-/ - /:5 - 0 <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp, <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />____~~ of Uni ts <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: /-r X IS- , L9~ <br /> <br />Square Feet.4~ ~ ~ <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 />PERMITS REOUESTED <br /> <br />i//BUILDING <br /> <br />$ <br /> <br />$ <br />0'h.h <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Se:rvice <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLlJMBING <br /> <br />GAS <br />/Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Frame _Steel <br /> <br />J<..~ Other <br /> <br />I <br />FINISHED FLOOR ELEVATIONS:.3 FT. <br /> <br />****************************************** <br /> <br />.d _ J j,., _ /l . CONTRACTOR SECTION <br />BUILD~ ~ ~ Company <br />I /; d. State Cert. or Regist. iF <br />Signature ... ~ /1J ~.J City License Registration # <br />~ ****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~;:::~.~~~***********.*.* <br /> <br />PERMIT OFFICER. <br />