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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT -1hifC- ~Cf7~(_ <br /> <br />ADDREss38'1-35 ,5'[<. 5L/ u.). ' <br /> <br />O~ER 0.~ <br /> <br />JOB LOCATION Sflm ~C./ <br /> <br />PHONE (i]~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />" <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.l~ <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration <br /> <br />epair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />_4~ ofUni ts <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 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 />_PLUMBING <br /> <br />.#' <br /> <br />GAS <br /> <br />__~luation of Mechanical Installation <br />vi ROOFING SPECIALTY <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br />CONTRACTOR SE~. (' , 0~ _ /J 'T.. <br />Company Yl/eJ/' \ )~ Lt1.tDaS l () fJ-fJ11 t1J I-/J IL <br />State Cert. or Regist. #_ <br />City License Registration # ,~ <br />* **************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <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 />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~******~*************************** <br />AA .I':t ",P A...t')') A) <br />..... ,,~, <br /> <br />PERMIT OFFICER. <br /> <br />r""'~" c~..~.''',.'~' """-'~'Wh,~"1 <br />l"" ,'. \ .'. ~::J~.\~~ ., <br />.' ,'~. .','1' ,,. "~,,' '> ~..,{" <br /> <br />'.'I""""~'~""'Jlli'':'''''''''''~'''''lt <br />