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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT '5 'Et/CN. L '::f4D; rH A <br />ADDRESS ~-) 2 f.J - I cp ~ ~ 1- <br />OWNER ~ ..., Eve-Iv. I.... -=\4 0 i 7-1-) f4-. 'A?{.( ~s.. ell <br />JOB LOCATION !;.-7?<t {71ft "b.1-~<?J;;- LOT SIZE~X 60 <br /> <br />Rf/S.s E 1/ <br />PHONE ; I .3 - <br /> <br />?&,ff- 7'c1d<f <br /> <br />AREA SQ. FT. 7' r9 () (J <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____IF of Uni ts <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Departmer.t Approval <br /> <br />BUILDING SIZE: <br /> <br />r;-I I <br />L X /0 , <br /> <br />/3d <br /> <br />Square Feet, <br /> <br />/d J <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 />~BUILDING <br />____ELECTRICAL <br /> <br />$ <br /> <br />/ tJO. "5 f.2- <br />. <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\~.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 />II <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 />Cor:pc;.n.:..... _ <br /> <br />Signature <br /> <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 />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />OTHER rYl-t~ <br />Signature t.l~ <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />Company <br />~ ' ~/ State Cert. or Regist. iF <br />o \.A~~ City License Registration 4; <br /> <br /> <br />PERNIT OFFICER. <br />