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<br />APPLICANT <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;J ()) f} ~ ..J C{~O - <br />3 fY.]6 S'0-4~~ r4 ~ ~' <br />OWNER !- L D ij' d ;+1 rL I -' <br />JOB LOCATION T / :?, S IJ~ ~ ' <br /> <br />PHONE <br /> <br />78Y-36YV <br /> <br />ADDRESS <br /> <br />. . 11:'/ <br />LOT SIZ~~X <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />95"" ~REA SQ.FT. DO Y <br />s/.l~~ / <br /> <br />____Sign/Temp, <br /> <br />____Sign ____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />--lI/F ____~~ of Uni ts <br /> <br />~/H <br /> <br />____Commercial <br /> <br />~Indust. . ____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: <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.** <br />**COPY OF CONTRACT REQUIRED. ~. <br /> <br />PRRMITS RRQUESTED <br /> <br />~BUILDING <br /> <br />$ ~ ~~ ;!1-6 . trrJ <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 />_PLUMBIN'G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.... <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 />Signature <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION. <br />Company <br />State Cert. or Regist. ff <br />City License Registration <br />**************************************** <br /> <br /> <br />ET,ECTRTCIAN <br /> <br />Company <br />State Cert, or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />SiQnature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAT, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />**************~************************* <br /> <br />)] ~ MAnAr , <br /> <br />PERt-lIT OFFICER, <br />