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<br />, ~. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />C;tJ'l.cPc~ <br />"0-/ L <br /> <br />~ ~ <br />/e".,I' ~ ~ /".vk:- <br />eAe-r !C/c. D <br /> <br />PHONE <br /> <br />7r2 -Y/fr-- <br /> <br />OWNER <br /> <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D ."$J <br /> <br />,l- .J"-- J 1- C)O/O - .2/3'6 0- Sel9c <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />~Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />____M/F <br /> <br />____# of Uni ts . <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />;. <br /> <br />. <br />BUILDING SIZE: <br /> <br />X_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-1L':..BUILDING <br />VELECTRICAL <br /> <br />$ / C dB . ::;:.., <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />I <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />4-1-",.,......, Other <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER Company <br />~...., /) _./ State Cert. or Regist. # <br />Signature/~. ~- ~ City License Registration IF <br />****************************************** <br /> <br />l (;, C. 0 1/..) VL. l.-. <br />/10 <br /> <br />ELECTRICIAN , Company 6//?"~ dk// <br />~ ~ State Cert. or egist. II <br />Sitmatur~ . ~ City License Registration # /? '3 <br />************************************** <br /> <br />PLUMBER Company <br /> /1(1 State Cert. or Regist. iF <br />Signature City License Registration # <br />f, *********************~******************** <br />MECHANICAL Company <br /> I\(~ State Cert. or Regist. 4F <br />Signature City License Registration if <br /> ****************************************** <br />OTHER Company <br /> State Cert. or Regist. iF <br />Signature IV~ City License Registration IF <br /> <br />APPLICATION APPROVED <br /> <br />..r _ ..f~"""" c ~ <br />il(~ re ,. 4J 0 J-c- <br /> <br />~~***********~************************ <br />BY ~-V ~./)A'I\.-, 'J <br /> <br /> <br />j(.S2j111-t?V r lilll.sl,.... /' <br /> <br />PERMIT OFFICER. <br /> <br />elf "'/ P'..r <br /> <br />td.-.Y J!-R/LAc r- <br /> <br />/.->/ II <br /> <br />,If ~-- ,~""'N'j <br /> <br />C ~;e/,c9J. <br />