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<br />LEGAL DESCRIPTION: LOT(S) <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />l!W#L~ a/L'O~ <br /> <br />, <br /> <br />S 1>'/ j' 0 S ~ fA ~ . PHONE/ J-,y. .? 0 y-V <br />t<Jh -efh.."'h- ~ 7'ir3-:J)IO <br />3 $- "/ '/ / LOT SIZE_X AREA SQ.FT. ~ .Lv <br />SUBDIVISION UI'tC/~Q ~;O~, <br /> <br />BLOCK <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />PARCEL 1. D. 4F <br /> <br />WORK PROPOSED:~New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br />, ~/H <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____t~ of Units <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*i: <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ '(~- d?J. trt> <br /> <br />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 />____PLUMB I N'G <br /> <br />0'" <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 />J'v' <br /> <br />CONTRACTOR SECTION <br />Company <br />//7 I J ,1'.///1"4 State Cert. or Regist..4F <br />U.(IAJ-V'7 {:p~ ~itY License Registration II <br />******* '**** *************************** <br /> <br />BUILDER <br /> <br />SiQ:nature <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration 4F <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration 4F <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. 4F <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************** <br />.a Aid JA.A'^..u-- " <br /> <br />PEPu'1IT OFFICER. <br />