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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT L AU (Uq. e:. Co '-H-y <br />631'- .s~jsqmA DR <br />OWNER -H -AfW J d -s-, 9r- UU R-A 6, c.. 'H<.; <br />JOB LOCATION 53/ (., Sp;f~u f71FJ bf2, 21IJi / /.> LOT SIZE/ ()() X <br /> <br />PHONE <br /> <br />7?~-/j-:3 "/ <br /> <br />ADDRESS <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:____New Construction <br /> <br />~dition <br /> <br />____Alteration <br /> <br />____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~le Family <br /> <br />_Sign <br /> <br />_Move _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 />____Restaurant & Health Department Approval <br />/ / <br />BUILDING SIZE: /0 X /! , Square Feet, <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 />/' <br />____BUILDING <br />~CTRICAL <br /> <br />PERMITS REOUESTED <br /> <br />$ <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 <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <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 />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />l.i~ Company <br />() State Cert. or Regist. # <br />;'Vl) ~:4'.c--- City License Registration l~ <br />** ************************************** <br /> <br />MECHANICAl. <br /> <br /> <br />Company <br />Cert, or Regist. # <br />City License Registration # <br /> <br />**************************-*************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />