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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />-=~ ~ ~ -s b \ \\I(Q... {'\ <br />Sd."3S \,,~ ~~ 2L~\-..,-\'\~\\~ <br />~V~ ~ .~\~~~ <br /> <br />~ PHONE ~y~ - -~?:?~ - '11\ l\S <br />~'~ ~"\ \) <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION 5d3.s j J th S i 6 ph. '1 (~~ II~ ''H- LOT SIZEKx j IfO AREA SQ. FT. ?fo 0 <br />LEGAL DESCRIPTION: LOT(S) q''f- I D BLOCK I ~ I SUBDIVISION <br />PARCEL 1. D. if U - d tc - ~) - 0 c) I (\ - ) ~ J DD - ('\ (\ 7 b <br />WORK PROPOSED: ~New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_~F of Uni ts <br /> <br />,_M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />f <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: ,'1"/' X ~'71 , <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 FOR..'1S.''': <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />VELECTRICAL <br />",If <br />_MECHANICAL $ <br /> <br />V;LUMBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br />~Frame _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />****************************************** <br /> <br />'1-- Signa ture <br /> <br /> <br />PLllMBeR @ ~U> ./ <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />****************************************** <br /> <br />7- Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************~******************* <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt-lIT OFFICER. <br />