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<br />- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT S vL)e~rOtC &9 rt'.uQ fL C"CJt?1~~ ~r ...z#c <br />, J / <br />ADDRESS ,;23/ .IZ'Y~\' Sr-;#'A-/tJoff~-<, ~ ,7Y"i5/}' PHONE <br /> <br />OWNER C~/~S 0(CQver <br /> <br />?)J_~ -75-09 <br /> <br />JOB LOCATION ~7f~ pr-tjy ~AA'1v~~ /"4 <br />LEGAL- DESCRIPTION: LOT(S)" <br /> <br />~ 3S-VO LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <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 />_Move <br /> <br />_Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim. ,Pool <br /> <br />.-M/H <br /> <br />.f!&" C1~.vQ e Other <br />(j'ur- t/ <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />____# of Units <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 />_W.R.E.C. <br /> <br />-A-MECHANICAL <br />____PLUMBING <br /> <br />$ .~ 700 <br /> <br />Valuation of Mechanical Installation <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />Ci ty License Regis Crac.iOl{,f <br />****************************************** <br /> <br />ET.F.CTRTCT AN <br /> <br />-.-';~"-..>:~~- "~:ii'oI;'_~~-=-~~_~ <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />PLlI11J3 ER <br /> <br />MECHANICAL Company ~",,..~/::'.t4 &.,y;~ F~ot1~ ~r~e~ <br />-' I~ /1 State Cert, or Regist. ~r ("'ArC') {/t?;J 7/ <br />Signature ~a ~ City License Registration If <br />. ******************************************' <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************** <br />1 . ,t2~;- .. <br /> <br />PERMIT OFFICER. <br />