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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APP~ICANT NeI<. l3S )}.L 1/ /Vt.. <br />. ' <br /> <br />ADDRESS r 3 C]::ll ~ L I 7-A g t> 7.~ C I rz c.t e . <br /> <br />OWNER 0)- I~ ~ ~J ~ ~t1. <br />JaR LOCATION:> if ( ''1 it) ~ <(, <br /> <br />PHONE <br /> <br />7~?- S g-z,? <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION ....s. 1{ y -r#- .!J---. <br /> <br />PARCEL I.D.iF <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ~nstall <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ngle Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_4~ 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 />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 />~BUILDING <br /> <br />PERMITS REOUESTED <br />9(2.0 . 0 rJ Valuation of Total Construction <br /> <br />$ <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <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 />Signatur <br /> <br /> <br />****************************************** <br />I::;>UJ ~. CONTRACTOR SECTION Hr. <br />L u IV\.. Company eX/5. ~ ~L c./ I'--\. ~ <br />;0 n J State Cert. ~r Regist. iF n.. . Old i)R- tL/ <br />e-. ft-}~, City License Registration iF '2 . <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City Li~ense Registration iF <br />****************************************** <br /> <br />PLUMBER <br /> <br />. <br />. ~.: <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration iF <br />~J. ~ . .~ <br />. *'k~****,*******************-1;*~*~*,jo':-!:'k*****it*. _ '. <br />. ,. .-'* <br /> <br />MECHANICAL <br /> <br />Sign~t~J\ <br /> <br />OTHER <br /> <br />. .. <br />(" ... \" <br /> <br />~- <br /> <br />..... <br />) <br /> <br />'. . '...~~ <br /> <br />CO:11pany <br />State Certrt fIT 'Regist. iF '-.' <br />City License Registration iF <br /> <br />. <br />a , _":* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />, <br />************************* <br /> <br />PERMIT OFFICER. <br />