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<br />APPLICATION FOR PE~IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT B u r<r ;J:S ) H ~ J? R r <br />ADDRESS b bib W.J::R.f:: Ro 1+')) <br />OWNER ,) LEEPY /-/dLlow '?;::rRk I <br />. <br /> <br />JOB LOCATION '- ()'( d /..f S- <br /> <br />PHONE 78-2... - /3 R ~ <br /> <br />LOT SIZE <br /> <br />X AREA SQ. FT. <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 />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_# 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 />BlJILDING 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 />V BUILDING <br /> <br />$ 37S-:oo <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_M~'CHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W,R.E.C. <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 />Signature City License Registration if <br />****************************************** <br /> <br /> <br />ELECTRICIAN Company <br />State Cert. or Regist. if <br />SiRnature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist, if <br />Signature City License Registration ;~ <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist, # <br />Signature City License Registration iF <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City '~,nse Registration 1F <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />