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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT f J S e r: r" e e Me:? n. <br />ADDRESS 5S35f La (ry Z~^yr^: II!: r-:-L )3~CY J <br />OWNER 5 Q Nt e <br /> <br />PHONE 7g~-6 8'50 <br /> <br />JOB LOCATION 5a. m ~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION 0 --I-A /J-I/-t~ /1JC'b./-e. ~#l.e fJ K. <br /> <br />PARCEL I. D .iF J 'J.... d-~" ~ \ - D (;> :l & ... C> oS 06 - ooCO <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ~ Family ____M/F ____iF of Uni ts _____M / H <br /> ____Commercial ____Indust. ____Swim. Pool Sc..re-t.-l'\. ~dl}1t\ 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 FORNS.H <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 />_H.R.E.C. <br /> <br />____MECHANICAL <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 />" <br /> <br /> <br />. CONTRACTOR SECTION ... ~ . <br />Company A-- I () ILA-(''f Y ~ <br />State Cert. or Regist. 'F 're 6~ 08s <br />City License Registration iF f1/ <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City Lice~se Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <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. 0 <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 />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />