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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~A- -/!- J?,a-O <-U ~ <br />. <br /> <br />ADDRESS 30 / 9 ,X..I_ <br />OWNER E?..s.+;::"'~ co <br /> <br />=a-rri"T. ---/~ <br />d.. ~,..- . .;pA <br />#---dl, e -h-z. . <br /> <br />...5"300 S- <br /> <br />PHONE B/ S bel c 0 7 I <br /> <br />JOB LOCATION "/DIO a.,.,./( BI{/d~ <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. # <br /> <br />WORK PROPOSED:____New Construction ~Addition ~lteration ____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 />____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 />I <br />~MECHANICAL <br /> <br />$ ;OOOD- <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 _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. ft <br />City License Registration # <br />****************************************** <br /> <br />Silffiature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />f, <br /> <br />MECHANI CAL 13.-ez:>..v..,) ~. >~ k-. ~ Q . COIllpany !5/u::>"" .v~. SF' ,<. k ,;J:: .,-,<- . <br />State Cert. or Regist. iF 5/,'.'-? ~ {J 900D /90 <br />Signature ~~ City License Registration 4F _S- R 0 <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. iF <br />City Liceg~e Re~istEati.?::,.# <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*~********~******************~**** <br />,', '" ~ "C! o/\~ '. <br /> <br />PERMIT OFFICER. <br />