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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />() p.?;, t'Y-I u J-1'1 <br />(J <br />7~ e:. q~ff\~k.-~ ~/~zrz.. <br />5 6 ~+\. ..o~ cl ;- (. (5/11;111-(.../. <br />-r... -If-; II f <br /> <br />K-~- <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />- <br /> <br />J~ PHONE <br />V fC!A1/'L) <br /> <br />9~/-()097 <br /> <br />JOB LOCATION Ihry ~ e <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,# <br /> <br />o-z Z<:2-/ODtO C>~~6o OolD <br /> <br />WORK PROPOSED:~ew Construction ____Addition ~lteration, ____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 />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />. <br />BUILDING SIZE: <br /> <br />; <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 />; <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />61+> <L5l~h~~(2r4 <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />____Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />s <br /> <br />\>~ <br /> <br />CONTRACTOR SECBON . <br />Company ~ <br />~ )State Cert, or Regist, # <br />City License Registration <br />*******~********************************* <br /> <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />* *** * ** ** ***** * *** * * *it * ** * * * * * * * * * * ,: * * * *'* ,: <br /> <br />t, <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />