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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ ,J:. ' / <br />'F//'f'/ ~j/ <br /> <br />OWNER ZJ4v'/.l) ;7;;H~?4/c:... <br /> <br />JOB LOCATION . ~ e. <br /> <br />2? fr#C/.4.K <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />7?'-It,?f'Y <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 1. D. ~F <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 />____~F of Units' <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 /> <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 />I <br />____MECHANICAL <br /> <br />$ <br /> <br />/~r7 ~ <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 />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />EI.ECTRT CT AN ~, ~ ""- ~\? '- \:::-L \) Company --t--\;\,-\-,- '3> '\;::. L..{:c.:,\: . ~ I2IlL..J <br />~ ~C7"J State Cert, or Regist. 4F 000 ?-lCo ~ <br />Si!ffiaturP"'--...""'1<::::::::::''- ~ U City License Registration # C. U <br />****************************************** <br /> <br />Company <br />State Cert, or Regist: # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMRER <br /> <br />Signature <br /> <br />t, <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registratiop # <br />*********************************** <br /> <br />f/:!F' /f'/fpo60t$2z;) <br />f?8' <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br />