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<br />"""'I:f.lr~~' _.~."._-_.. --.., .'-n 0 ..~-, <br /> <br />.... JUI'-'._~'~- '_=~.m'. <br /> <br />~~-.~_M~ .~ "'_~~.,~.-,.--.,~.._",_,,,,,,_,_,~,,, ,_.... .__.. <br /> <br />ADDRESS <br /> <br />-l::\{> 1'\11~ r\ :SD h~ <br />6 (0, J. 'J)..Q. H~ h <br /> <br />/ Dc /fo/R/' <br />~D U:. \ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Co I1J!,.UC Ira< C~. <br />, ,<? .) - Ol.P8(; <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />';\.~ <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />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 />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 />~/F <br /> <br />_4~ of Uni 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 />_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 />.X' ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />.. CONTRACTOR SECTION C C <br />'. Company \..jJ~ I' ~(YUJ Ytl1.t!/-iuu. ~ II j/ <br />~ : . ',/ State Cert. or R gist. !~ <br />'---'t-< 1"" J(!I'!fif.c City License Registration il 77 <br />/ * * * *** * * * * ***** *** * * *~, *;,*;, * * * * * ,', 'I, 'I,;,;, ,': -!:,~ * <br /> <br />BUILDER <br /> <br />Si2:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <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 />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />