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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br /> <br />(.5'..5":. ~ C .'- _ <br />AREA SQ. FT /"3 -?.:5 3 <br />'" <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # /.;z - .;2 (;, - ;;. I - 0 0 .;l. 0 <br /> <br />00 70~ ..- C> 3/lJ <br /> <br />WORK PROPOSED:~New Construction ---^ddition _Alteration ____Repair ____Ins tall <br /> ____Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ~single Family _M/F ____4F of Uni ts ,_M/H <br /> ____Commercial _Indust. ____Swim. Pool 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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~BUILDING <br /> <br />t--'ELECTRICAL <br /> <br />~iCHANICAL <br />~ <br />____PLUMBING <br /> <br />PERMITS REOUESTED <br />$ ~G, 3-5'0 ~ Valuation of Total Construction <br />- <br /> <br />;Joe. <br /> <br />AMP Service <br />6--'b <br /> <br />~lorida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />'J <br /> <br />$ -a35-b <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br />~ock <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Frame <br /> <br />____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION ~~ <br />BUILDER G~pe 8R.oS e~~...,. G Company G-o 17 e e,.<l.,.~ ( ~~?? Co <br /><U ~ State Cert. or Regist. l~!<~' ~ 0 <::::) Y b.6 B <br />Signature C a .f2- a ~ity License Registration # ?3 :;;>----- <br />****************************************** <br /> <br />h) CJ '--c..<~ <br />ELECTRICTAN ::r 0 HAl Y'f roC; jl!.rRI'[ 0.;::70 k'L company.;r~ I-(W ~(C H;f-<',p S~,"I/ eo-' <br />#t- ~ -I I ..... State Cert. or Regist. 4F <br />SiQIlature' 'I(!j -~ City License Registration # ,J.~ <br />, ****************************************** <br /> <br />Signatur <br /> <br /> <br />('II- ht <'rlTO'\ <br />~ <br /> <br />Company A. c. p~ ~/~~ <br />State Cert. or Regist. # 'K~"O":l""P1'7 <br />City License Registration 4~ 2. ?, <br />**~~*****************~******************** <br /> <br />Company ~,r::'#ye '.4;,& <br />State Cert. or Regist. .4F )j'//~otf,t/~,;;20 <br />City License Registration ~F ggr <br />************************************* <br /> <br />PLUMBER A- L <br /> <br />Signature <br /> <br />Si <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City Li <br /> <br />OTHER <br /> <br /> <br />T OFFICER. <br /> <br />APP <br /> <br />.., .~..... <br />..., <br />****-1<,,* ***** ** *** * * ***"~ <br /> <br />}...J' <br />