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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT S~/J-e/<"/"aJ'(? &9T;''''J ~ ~cxJ)~~ ~T;/-ZNc.. <br />ADDRESS ';;.5/ ~...~h..5' ...>r.,&/6 ,4-/0 O~~~<'~. J~"77 PHONE 783 - 7..5""0 P" <br />OWNER Sr:~..vIeN' ,e'~~ <br />JOB LOCATION ,79;:2/'/0 ?T~ve ~..,I7~~ 3~~/LOT SIZE_X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <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 />_4~ of Uni ts ,_M/H <br />_Swim. Pool ~ adye C!'u~ Other <br /> <br />_Commercial <br /> <br />_Indust. <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />:.r <br />---6.MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />9}CO ~ <br />GAS <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <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 <br />State Cert. or Regist. # <br />City License Registration iF <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />Sis;mature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br />*********************t******************** <br /> <br />MECHANICAL . Company ("~eR,Io-t' ~rh~~C"oo",(~ ~T-....2'Pc. <br />~ '/ /1 " State Cert. or Regist. iF CAco t,r?;Z 7/ <br />Signature ~4 ~ City License Registration iF <br />***************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />