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<br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />)l11/-5"j'{C/L ;f5s'Efr?BL'( eM p~ ,yJi2vV' <br /> <br />/~f343 O-,AkY)ttJk-DR PHONE 97b--/~2-7 <br /> <br />//{/IfL7~ <br />b~~1 <br /> <br />LEGAL DESCRIPTION: LOT (S) -::s J 4 I 6- <br />, . <br /> <br />1/ - Zw ~ 2 / <br /> <br />/1/~'1AjE <br />S-7t? I <br /> <br />LOT SIZE 76" x /-10 AREA <br />BLOCK S7 SUBDIVISION <br /> <br />SQ. FT. <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />PARCEL I. D. jf <br />WORK PROPOSED: ~New Construction <br /> <br />_Addition <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: v'Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_If 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 FORI1S. ,,,', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOID-IS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />/,",......-ELECTRI CAL <br />JJ <br />_MECHANICAL <br /> <br />$ <br /> <br />/778,97 <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 />Signature <br /> <br />J?J. ilL >4 /, JONTRACTOR SECTION <br />// /1 :$ ~ ~/5-16'- ( L t'??=, Company <br /> <br />~ )c: "'2 . / State Cert. or Regist. If <br />____ -~ P4-r- City License Regi~tration IF <br />**~************************************** <br /> <br />C I~G C' 5" 25_';$ -s;- <br />...<. !:>- <br /> <br />BUILDER <br /> <br />F.T ECTRICIAN () \J\.JY"-Q..r'\..--" Company <br /> <br />:;::: t1>r~ ...;~ ~1. r:~~......*m~:;~~;;~: :;:;~;~~;:~~~ " <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************ft******************* <br /> <br />PLl:MBER <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 />* <br /> <br /> <br />****************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />