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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />/-ItJ <br />35" Yso <br />Hu vdlJ <br />. <br /> <br />19 / Ik Y1'1 /- 11 /-u YV\ <br /> <br />ADDRESS <br /> <br />SoUl!- TA <br /> <br />y-' 'c CI lA,C VoL r--e <br />/l- t/..-e , <br /> <br />PHONE <br /> <br />7 I?;;P - <br /> <br />3c)VY <br /> <br />JOB LOCATION <br /> <br />3 J" L/J 0 <br /> <br />tJ6' 1" 1'1 ..R jI' <br />5'oo//t... }4 c/~ <br /> <br />OWNER <br /> <br />PARCEL 1. D, # <br /> <br />/6 <br />/C/-c26 --;( 1- <br /> <br />BLOCK <br /> <br />LOT SIZE~X So AREA SQ, FT, 'S-O 0 <br />SUBDIVISION J}/oV(-.s:>S' F1 ~rr )1dt/. <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />OoleJ.- 00100 <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 />fbLJI~t; <br />v <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <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 />_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 />j <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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION,/- <br />Company 6....! t7 Jt- R 1/ I ~1 t? <br />/ v / <br />State Cert. or Regist. # <br />City License Registration # .." ,::i2t::/~ <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />Signature <br /> <br />#, <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />