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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />2)/5C'OV/4'/'/ ~T <br /> <br />ze~k;YL A~e.. <br />Z-/-hLL: <br /> <br />PHONE <br /> <br />7S'F-d-2EY <br /> <br />ADDRESS <br /> <br />.3 S"/C.s- Ev6t"o/,C'eC'/I/ <br />/ <br /> <br />I # /./""'~t"'~K' <br />/ <br /> <br />OWNER It jly/tI ;::;A-A/C' /L <br />..-- -r# <br />JOB LOCATION ~ 7,t 7 F gr <br /> <br />/h5"c?~'?k;/ /?~ <br /> <br />I' <br /> <br />7-L/L'/ <br />r- / :r-/ '-- <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. if <br /> <br />WORK PROPOSED:_New Construction -LAddition _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 />_IF of Units <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />! <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 FOR"1S. ,';:', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />-X-ELECTRICAL <br />~MEtHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <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 <br /> <br />_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 />cr <br /> <br /> <br />Company Z~\-\\I...l...<:,. E-s-,-;,C\. SC:ftv , <br />State Cert. or Regist. # Coc) ?-lCo&- <br />City License Registration ~F LcJ <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************~******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. /'~ <br />S1gnature-- <br /> <br />(/ <br /> <br /> <br />Company Ze/.Hy~ /J-/...e7E. <br />State Cert. or Regist. 1.' ,).?/9.::?O'?;/)/"'z.-c, <br />City License Registration jfr ~ <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 />PER~lIT OFFICER. <br />