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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER ~LPL.ce ~d/4- <br />JOB LOCATION -~~~~ <br /> <br />2?c':?-I JI/e~~,.eJ# / ~?//-/R A/2~ <br />5'7J~ a4LL $b/yg;-f#~/C~~L" <br />/ <br /> <br />PHONE <br /> <br />7ff-~C~~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />v ~~~~ G)V-,'- <br />~Repair _Install <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_l~ of Uni ts <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />, <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />-LELECTRICAL <br />t<'f <br />-L-MECHANICAL <br /> <br />$ <br /> <br />Ij~oo ~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <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 />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 />:::::::::AN :t~ Company 7_-\\,,,-, EL~C\L,e~J, <br />~-=-t::: ." State Cert. or Reg1st. lfr OOC)J....ll.:,~ <br />'0 , City License Registration ~F lO <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />u//'/Yk' /hfe. <br />State Cert. or Regist. ;,: .R'd'//cc:&o~Z-O <br />City License Registration :F ?#' <br /> <br />Company <br /> <br />****************************** <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 />~~f. .t?A.A'fV1-'- <br /> <br />PERMIT OFFICER. <br />