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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT A55oc/~reO ELtCt/2tcAI.. s.'E/C(,I(Ce~,..;:iuc. <br />, <br /> <br />(IfA~L(E j).~/fL <br /> <br />ADDRESS !f&;q/ o-/CEetf/FtEc..2 ~r1IUE 2E/WV~If(t.L~ R: 3354/ PHONE 783.- 3.;2$'5: <br />,. <br />OWNER :lEe lfoAJ ~ F/2AlJcD illOrr/{5 PH',..:tb- 78g - '+8 10 <br /> <br />JOB LOCATION q71 g (;-Ae-t- 8LGlO. 2c/'If'dYflc..t5 <br />~Hrrl4Ct+<=f) <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />, <br />LOT SIZEI31.09 X I SO AREA SQ. FT. <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br />_Sign/Temp. VSign <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />I <br />BUILDING SIZE: L.f'1 X Jlo.3S, Square Feet, <br /> <br />I <br />15 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_h'.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBING <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />SiQnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER 516-.'-1 <br />Signature (h~ /(, dJ..~ <br /> <br />Company 4-5Soc14TeO ~c.8??C(C* 5P,e(/ICc-5",:Taf, <br />State Cert. or Regist. IF G/-OOOc)oB3 <br />City License Registration 4fr , ? 7 7 <br />, <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************ <br />. ,~ "P..AA.l'l...) <br /> <br />PERMIT OFFICER. <br />