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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~U\ ~(,\/\(;lf-'-(' <br />ADDRESS 83 d-. 0- \~1 D 6 <br />OWNER ~;.t'h:t{d ~~ <br />JOB LOCATION 380110 1"5"(\11-(. , <br /> <br />c~~( ~(jv- <br />9 8 . ~J, ft i~ PHONE <br /> <br />9P7- gSgD <br /> <br />2\h~ <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 />.J rt?~-^OD~ <br />~Repair ____Install <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <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 />____IF of Units <br /> <br />.____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool Other <br />Approval \ '1.0-'\ FI4-t roof <br />Square Fee ~.o 4 ~ hLIV\\ U. <br /> <br />Height <br /> <br />, <br /> <br />____Restaurant & Health Department <br /> <br />BU1LDING SIZE: <br /> <br />x <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S.'''' <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS. 1:* <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 />____MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />~ ROOFING SPECIALTY <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION~ / 0 ..lJ . ~. ~ I; <br />Company' rJJIA.. C ~r I1J UCIf7(}A.. <br />State Cert. or Regist. iF 'R~006tt;7&3 <br />Ci ty License Regis tra tion iF -*-Lj.;J. <br />*************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />Signature <br /> <br />.~ Company <br />State Cert. or Regist. iF <br />City License Registration # <br />**********************~******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />~ <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />'-' <br /> <br />CompCiny <br />State Cert. or Regist. iF <br />City License Registration iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************* <br />/J....A^.ti~ _ tZ~ <br /> <br />PERMIT OFFICER. <br />