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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~Je ii /.ec-fqzie- <br />ADDRESS 3q/11 ~#i~ Rd Z- H;/I:> <br />OWNER /(t;AlwW'h 1<: '-0 +z... 3 7 ~ Z h <br />JOB LOCATION tJel1~ ~/tJ~'(JH1 ~Ylch <br /> <br />PHONE I'J8Z' ~:~/q <br />I? f/.~6A IJ/Z. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F I~- zrs,-z,.j"'" ~//JA- Oft;, t)o - oo~ 0 <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 />_iF of lIni 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 />...ic::::..ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />J:::::...MECHANICAL <br /> <br />$ Z?O?,'-u.. <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 />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:::=~ Company :J.H,.;: euchz;c> <br />IV / __ _ State Cert. or Regist. IF 15~. IZ615 <br />. cr . . ,-'t~ ~ City License Registration 4F & s'i <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHA~JCI~ Company !P I'I'u ~lte/;eiG <br />~ ) _ ~ State Cert. or Regist. IF I?A ~z,qz, (l-S- <br />Signature" ..~. f ~ City License Registration ~F t!J:5 S"" <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~;~~~.~;;~;::;:....*.****....*., <br /> <br />PERMIT OFFICER. <br />