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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT /J~,{/ U/A<E~LE;f /2IlA, <br />ADDRESS4(PGJ..l7 I?Road? #AcR/A/G.~/'h'd <br />OWNER ~~ t/ ,f-/!e...~1 <br />JOB LOCATION~OO~ ~/07 -Z'4 Q- ZBPH)'-f#/L~$- <br />LEGAL DESCRIPTION: LOT(S) J <br />. <br /> <br />/J-T eXCAvfr/,#6- <br /> <br />A'I!JA(/ <br /> <br />PHONE <;-6 7- 7" 7~/ <br /> <br />7~OO' <br />LOT SIZE sA x ISV AREA SQ. FT. f~ 7~ <br /> <br />BLOCK <br /> <br />SUBDIVISION d,4~ <br /> <br />PAIf k <br />. <br /> <br />PARCEL I.D.4F~.;t -,<1(; -;< /-t:J~.s-o -d.n.eJ 01') -dO/ (J <br />. <br /> <br /> <br />WORK PROPOSED:____New Construction _Addition --,--Alteration ____Repair _Install <br /> _Sign/Temp. _Sign ____Move .k:::J>emolish <br />PROPOSED USE: _Single Family _M/F ____# of Units' ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: '15./ X .;/0 , <br /> <br />R 0('''' <br /> <br />/6K Ii <br />. <br /> <br />Square Feet, /0 7(, ~ <br />. <br /> <br />',_I' <br />.2- Height <br /> <br />;. <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <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 />$ <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company , <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />f, <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 />.Q.THER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />********~~*'*********************. ***** <br />~/~~ PERMIT OFFICER. <br />