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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnmNT <br /> <br />APPLICANT aAl7e <br />ADDRESS 5:2.3 ~ <br /> <br />- &h//k~~ <br />/7 "4 Sf <br /> <br />. <br /> <br />PHONE <br /> <br />OWNER ' <br />JOB LOCATION 51/ ~e. LOT SIZEttJ x/'/O AREA SQ. FT. g,/&,pfP <br />LEGAL DESCRIPTION: LOT(S) 0/)..0 BLOCK/1'lfoosunrnVISION / /~:z.~-';?'J -()Ol 0 <br />PARCEL I.D.~~ //-1.6-.1./ ....110/0 - /7?Oo... 0;;20 <br />WORK PROPOSED: ~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br /> ____~Iove ____Demolish <br />____t~ of Units , _____1'1 I H <br />____Swim. , Pool Other <br />Approval <br />Square Feet, Y'~ Height <br />BUILDING PLANS & (1) SET ENERGY FORtIS. ** <br />(1) SET ENERGY fORHS. *-1: <br /> <br />____Sign/Temp. <br />PROPOSED USE: t/' Single Family <br /> <br />____Sign <br /> <br />...:...-M/F <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant & Health Department <br /> <br />/:1 v..-i, :J 36 ~ <br /> <br />RESIDENTIAL: <br />'COM1'1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF <br />ATTACH (3) SETS OF BUILDING PLANS & <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />/ A~() <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 <br /> <br />____Frame ____Steel <br /> <br />/lLI././I-1. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />/VJ (/ 4/ CONTRACTOR SECTION <br />ntnLDER /'lfJ 5 /7/V111.1 Company <br />, <br />~L ' J /J State Cert. or Regis t. il <br />Signature /'(F.t. ~ (4/4.e:'1,j;J 11 ' ' City License Rcr.L~traUnn il <br />*****3*****************",",1, * 1,***~' i, ,', ,', ,', ,',i, ,', 1, ,', * <br /> <br />"3/~ <br /> <br />Si9nature <br /> <br />Company <br />State Cert. or Rcgist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ET.ECTRT CT AN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~*******~************************** <br />'hL.At...< 1 -LA/("" A 9- , ' ' ' <br /> <br />PERHIT OFFICER. <br />