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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />D A l~ I b <br />.sZ~D J/ 1~fJ <br /> <br />p- <br />'- <br /> <br />Yo <br /> <br />(./ /1/ G- <br /> <br />OWNER <br /> <br />f-,/ l; / <br /> <br />r\ <br />'"""')' <br /> <br />s:r Z E PH VI? H / / ! f, f/ PHONE 1 'l ~ - <6 () () ''j <br /> <br />'. , <br />/ C> V rl cr <br /> <br />ADDRESS <br /> <br />)>Ii <br /> <br />JOB LOCATION <br /> <br />'S: g' "3 0 <br /> <br />If <br /> <br />{.~ C:,'} <br />I \to ,~ . <br /> <br />LOT SIZE_X <br />BLOCK ~ 7 SUBDIVISION <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />17-/g <br /> <br />PARCEL I. D. ;F <br /> <br />P/R r <br /> <br />Bt'~' It ), <br /> <br />'P....bl! <:. RE<:DRJ>!: <br />p r;.. S Jf ' C,i ,&. P ~ S ~ 0 ,',. .'::'''' ^i rl/" <br /> <br />WORK PROPOSED:~New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _# of Units ,_M/H <br /> url I rrY .. ; ,,:t;;w. <br /> _Commercial _Indust. _Swim. Pool t3vILl.), "Other <br /> <br />! <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />I (). x-1...L , <br /> <br />I , ~ ~ <br /> <br />Square Feet, <br /> <br />91 <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (~) SE1'S OF BUILDING PLANS & (1) SET ENERGY FOR..'1S.'''' <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 />$ LJ J~, 6 <6 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />"f <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\\.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mec11?nical 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 />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <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 />