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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT -SU~ $"\C)~) <br />OISL-~ 3T~ <br /> <br />~"N\ l ~~ ~c>>L- <br />Sq. <br /> <br />"2 ~,~~ PHONE <br /> <br />CsU!L~~.} ~ <br />( ~~ - I ~0F:-,> <br /> <br />ADDRESS <br /> <br />OWNER -:-n-D~ ~V") '~\.kCU 0.~e <br />JOB LOCATION lo \ ?> <g CD(,()~D n k <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D,~F ~-:L ~ ~ ~ 2\ <br /> <br />BLOCK <br /> <br />LOT SIZE"55 XIs. AREA SQ,FT, <br />SUBDIVIS ION..t))C <5, \:iJ.Q 1'<\ ~e . <br /> <br />OOSD ~ o (X) 0 (J -- <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />_rlove <br /> <br />_Demoli-,h <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_lfr of Units <br /> <br />,_M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />:} <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUJLD1-NG SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S, ,',,', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ;d, <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$~O::B .~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_ME=t!HANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_H,R.E.C. <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 />BUILDER ............ ......... .... Company ~w ~<2: <br />~--- ~ State Cert. or Regist, iF <br />Signature ~/ City License Regi~tration iF <br />~ ****************************************** <br /> <br />{)\..)..jJ'fIf' <br /> <br />11 <br /> <br />EIECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMBER <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />. . <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~*~~***~**~* ****~***~*~~~~~~~~~~~~~~ <br /> <br />- - a /?t-('" B ,-eLl ",f<-.- 'l- <br /> <br />PERMIT OFFICER, <br />