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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />C L / Fro r(~ j) . G &-(R.. KE. <br /> <br />5Lj). 7 5tt- s,r. <br /> <br />PHONE(~tj78&-'930S (!;l 78d- -ssf?7 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />SAvYlc.. As <br /> <br />ABovE <br /> <br />JOB LOCATION 5Aw E.. A::> ABovE <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) I <br /> <br />~ <br />, <br /> <br />~ <br /> <br />BLOCK 9 d- SUBDIVISION (\ r'r <br /> <br />() r 2(; PI-(Y,'2. J..( I U.s <br /> <br />PARCEL I.D.# <br /> <br />\ <br />II - ;l ~ - ~ I .- 00 10- 0 q ), oc) - 00 '76 <br /> <br />WORK PROPOSED:____New Construction ~ddition ~Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_# 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 />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 />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />F.LECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />.f, <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />~*~:*:*~****~~:*::*r******************** <br />APPLICATION APPROVED BY ~~_ PERMIT OFFICER. <br />