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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT S~~~~/'O~ A?~#q ~ao~;vy ~~.z..CC' <br />/ ./ <br />ADDRESS .13/ .t7o':Jhs S~ ;?-/CJ (/~hfr?,eJ r;:, Jf/D /7 PHONE 7C13-7509 <br />OWNER .4A/AJQbe/ A'"€~..lI <br />JOB LOCATION3?/'-f:? 6ve .z~i'..t~a J.J5/t) LOT SIZE_X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PARCEL I.D.~F <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim, Pool <br /> <br />__M/H <br />.4k..7d~fi~ Other <br />, <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF of Uni ts <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.~'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <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 />~Mg-CHANICAL <br /> <br />$ 3200 <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <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 />CONTRACTOR SEGTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />S hma ture <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company _S-r~ ~crr;~ ~C'e>C,4~ ~r ~. <br />~ State Cert. or Regist. IF CAC'O J '/ <br />C?' ~"""-- City License Registration iF <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~********~************************* <br />1 ~A'>~ <br /> <br />PERMIT OFFICER. <br />