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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE <br /> <br />(ft,?)7?2 ~9i)S1J <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT sIzE3!Lx 109 AREA SQ,FT,5,-OJ1 ~ <br />SUBDIVISION Wf-rl9/-uJ o i.) ~ <br /> <br />WORK PROPOSED: ~w Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp, _Sign _Hove _Demolish <br />PROPOSED USE: _Single Family _M/F _4~ of Units __M/H <br /> _Commercial _Indust, _Swim, Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: 'YX~, Square Fee t, I ,-/9 J- Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <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 />/r0 <br />. <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />~. H,R,E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block ~Frame _Steel <br />FINISHED FLOOR ELEVATIONS:5~' FT, <br /> <br />Other <br /> <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECC3O~ I ) <br />Company . IV - tYl ~ 'l/t--/ <br />State Cert. or Regist, a <br />City License Registration <br />****************************************** <br /> <br /> <br />ET.ECTRTCTAN ~~ 4..be-/-? Company ~1/JZ.lk?~~fi<-L-~~L <br />~~ S~L /- Q'/ State Cert, or Regist, i~ 0011./ '1/ <br />Signature '1.....(A1~ ~~'t'-- Gity License Registration ii j..o (, I <br />****************************************** <br /> <br />Signature <br /> <br />j?~ Jl("rn-.. City License Registration 'I <br />****************************************** <br /> <br /> <br />PLUMBER <br /> <br />MECHANICAl. <br /> <br />C/? L <br />Signature & ~. <br />/ <br /> <br />') . 'f ....4 // . / . . <br />Company ( rt1cbo(.k--< n', {' &'/k/,//i; ////?c~ <br />4;i S C R' JL ;.:1 'I;' '[Jjcy'4:-) v <br />. ~ tate ert. or eg~st. 1'- A./.'L' ,I! ../ <br />C-?'~ . .c.r~ City License Registration iF /f <br /> <br />..L ... _ ~ .;.. .J. ~ ..'. oJ. oJ. ,_ J,. ~'. ..to .J- ..L ..L .... J_ J_ -'- J. <br />^ * * * * 1: -I. * * * * * ** * * * _ ^ ** .. * * ^ .dd, .. ,. .. .. .. .. .. .. .. .. .. .. .. <br /> <br />Company <br />State Gert, or Regist, 0 <br />City License Registration iF <br /> <br />OTHF.R <br /> <br />Signature <br /> <br />APPLI CAnON APPROVED BY 'W;~ *~;::.:.:;'**'**"~ **** *** * '*.. PERHlI OFFICER. <br />