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<br />APPLICATION FOR PER!'lIT <br />CITY OF ZEPHYRHILLS <br />Bl'ILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br /> <br />Sv'S7Z7M S - Frio/ E'. STI17HES <br />/ . 114M vJlt-L- 19 ~7 /./; <br />t5 (f E s r' PHONE 0 7 / - y'S"'r; <br />/ <br />t5 :5 /) <br />lI~tTl1 J)vE <br /> <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <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. jfr <br /> <br />/I~)G'-d( <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration L----R;pair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />~ommercial <br /> <br />_M/F <br /> <br />_# of Units <br /> <br />__M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />:~ <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUJ:LDING 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 FOR~S.~* <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~UILDING <br /> <br />~ELECTRICAL <br />;t <br />_MECHANICAL <br /> <br />$ <br /> <br />dS; {)()O <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.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 />B~ f)L E ~:JIf*FI'.1< ~***************~'************** <br />M f1 'Ai --.::::> I r: /IT.!. ...., .Q,QNTRACTOR SECTIOij /J J1 r--~ ~ <br />nUIJ.UER ~"6 ~s Company r/-JI/lf/C/;1/(, .."::;,. 'S' EM" <br />// gJ;: _ State Cert. or Regist. # C6C c1_V_Z <br />Signa tur . . . .- ***:*:~*::....***~~~~*~~~;.~~:.~:;;~~ ~~:; ~~~ II 3 S/ / <br /> <br />ElECTRICIAN Company A~~,>~~t=~~ <br />~~ State Cert. or Regist. " <br /> <br />Sionatur~~ ..1'T.**1'**H**:*-***~~;'~*~~~:~~:*~~~~~;~::~~~~ ;,' ~ :?~ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************ft******************~ <br /> <br />PLEMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 1 <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 />APPLICATION APPROVED ny .77';;:;'~**:ir:;~;:;*" ..****.. ***. *'" PERMIT OFFICER. <br />