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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT Ro8El?T <br /> <br />ADDRESS /20 I N. <br />\)0 If AI <br /> <br />OWNER <br /> <br />L, /~W/J7W <br />C;;; LeN /) Vi: <br />Fh'YUf'/15 <br /> <br />PHONE <br /> <br />7€:"3-7737 <br /> <br />JOB LOCATION 37/20 FoX /fUN <br />, <br /> <br />37, '38 <br /> <br />, <br /> <br />PARCEL 1. D.lF '3 - '2 b -' 2/-- /2 - 0 r- <br /> <br />PL/} CC <br /> <br />LEGAL D~SCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE_____~ AREA SQ. FT. <br />SUBDIVISION SlLLJER o/lkSP/-If15tE' OWE <br /> <br />3 7 1- 38 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />~nstall <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 />____4F of Units <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />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 FORMS.** <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 />_W.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 />'f <br /> <br />SPECIALTY (Y>l.fJl( FO~ root) <br />Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sie:nature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <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 /> <br />OTHF.R S"L~L..G:Y C:-"V7N~ <br />Signature - ~~L./ <br /> <br />Company ~o&7rr L. H~/?If'D <br />State Cert. or Regist. # R X 0 0.5"'0 2. ~ 9 <br />City License Registration iF Sg, <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />