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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />R \ C. 14 A (( i> 1.. M 0 R.. ~ \ .s <br />ADDRESS 3~ ~ fS , g $ T. <br />OWNER -.p I C ~ A ~ b L. J1 0 ~ ~ \ S <br />JOB LOCATION t4 ~ YO I C, S;: LOT SIZE 1.5'" X /3.1 AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT (S) J 3 + oS 'h. J t.J BLOCK;l i SUBDIVISION H 0 0 ((.f. .s f{ eST <br />PARCEL 1. D. 4F I '-l -;{ lc, - ~ \- 0 b J 0., 0 ~ 4 D (') - 0 I 30 <br /> <br />PHONE <br /> <br />7g:J-JJLJ~ <br /> <br />Ii b1> ~ <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />.s ft;, SJdC:b. /' <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4F 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 />fo'i <br /> <br />Square Feet, <br /> <br />8' <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />~/X fj' <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 />/~UILDING <br /> <br />$3R9,d1. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W,R.E,C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _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 />Signature <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 />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 />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~******~~************************** <br /> <br />dA1fl(1 tU)~ <br /> <br />PERMIT OFFICER, <br />