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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />. IkE /fu ft}. <br />ADDRESS 38 S"L/5 'PfJLf1I CR..tJl/~ I}R. Z -H/LL~ <br />!?OGclZ.- fYYLE <br />,1,44'"' s IbE /7)/# ,!>AeK ' <br />JOB LOCATIONIP!'1J:,LlIlI#Ersr; Z-HIL'-< r/A. LOT SIZE~X 5'i' r AREA SQ.FT. ;)0(;> <br /> <br />J:J5"~ <br />;=},4. PHONE . /' tf.;). -;(b/6 <br /> <br />OWNER <br /> <br />.. <br /> <br />LEGAL DES~RIPTION: 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 />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 FORNS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/BUILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />/ 9/ S', PO <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 GAS ROOFING <br /> <br />SPECIALTY <br />II J n" 1//11/ fi. /If) /ANJc)/V S <br />'-VI' Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />/lll r /)#/f// tEL- S <br />~~ <br /> <br />CONTRACTOR SECTION 4/" L"'" /} <br />Company /T(..,- c- Lu r'? ., <br />State Cert. or Regist. IF C/CCO <br />City License Registration # <br />****************************************** <br /> <br />.? 7"6 ? t:? <br />//l,O <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <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 />APPLICATION APPROVED BY <br /> <br />~******~*************************** <br />'7 d <...J2AA}v:r " <br /> <br />PERMIT OFFICER. <br />