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<br />APP;.ICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />#ekA.! /(;/2 ()r/(JC <br />/d. ~ <br />3t? .;2;')'7 7 - ~ ) <br /> <br />2ep4 V,P 1;$ PHONE <br />f/ / <br /> <br />7J"-?,7J',6 <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 I. D. iF '. <br /> <br />. <br /> <br />r 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 />_M/F <br /> <br />_# of Units <br /> <br />,_M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />'~ <br />!' <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUJLDlNG 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 FORI1S. ;",', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />PERMITS REDUESTED <br /> <br />_BUILDING <br /> <br />()LELECTRICAL <br />~. 'r/> <br />...V:::'HEt:HANI CAL <br /> <br />$ <br /> <br />Valuatio::, of Total Construction <br /> <br />~oc AMP Service <br /> <br />__Florida Power Corp. <br /> <br />_\\.R.E.C, <br /> <br />$ <br /> <br />.~/~17/7 !!- <br />~Z1-L- ._Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFTNG <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block <br /> <br />_Frame ___Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />900 fJ ~'IL-ff <br /> <br />********************.*'~k****************** <br /> <br />CONTRACTJR SECTION <br />Campa- :-/ <br />State Cert. or Regist. # <br />CiLY ~icense Registration # <br />**********************:k****************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::::::::~ ~ comp""y ?U~hI f /:;~ci,r. ( S(~. .Tn" I <br />. a ~~ ~~~~e~~~~~~e o~e:~:~~~~i~~n iF ~/ t, dkJ <br /> <br />**********************~******************* <br /> <br />Compar<1 <br />State Cert. or Regist. # <br />City License Registration ~ <br />*******************~********************** <br /> <br />PLlJMBFR <br /> <br />Signature <br /> <br />MECHANTCA~ <br />Signatur~ ~ <br /> <br />Company AJt1rL .4/2 ~~J.?t.-" <br />Ll- .. State Celt ot'Regist. j,: (Jl'/eo~z~9/ <br />~~ . City ~ic~nse Registration ~ <br />J.. .I.. ~.. .I.. _1..' ....~.'.' J~ '...L .'...L J...L.1.. ......J.. oJ.. J...1.. <br />..** A * ********..*.,.**".,,,*.."'........................ <br /> <br />Company <br />StatF Cert. or Regist. # <br />City .icense Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />*********************~.******************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />