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<br />APPLICATION FOR PE~~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />!f1Jf-f1~~ ~'~Y <br />'7Hol $fC#V2> ~ <br />lief/II/!- /ILL 1--6-€- <br /> <br />PHONE 7r;;;l.. a<P--f. <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~F <br /> <br />....,r.::: <br />,..)/ <br /> <br />d':::- <br /> <br />CJ..- ( - <br /> <br />C/)O <br /> <br />dJooo <br /> <br />d350 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_l'love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />.____1'1/ H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />, ____Restaurant & Health Department Approval <br />BU1LDING SIZE: ~X~O , Square Feet, <br /> <br />/ <br />'S. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S.':O': <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />I ()OO . II) <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />;ff1 <br />____MEt:HANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.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 />BtJILDER <br /> <br />CONT~~~~:n~ECTION 5{/A(S77f-~ ~=d If ~,fdl( <br /> <br />I~,/f G,rl: State Cert. or Regist. iF 7 <br />~ _~ City License Registration iF ~. <br />~f <br />**************************************~*** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sionature <br /> <br />PLL'MBER <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 /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />************************* <br /> <br />PERl'lIT OFFICER. <br />