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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 75f;l jYJ fl5IJAI t€-Y o::.I-{J ~Ifle)ff / NC-. . <br />ADDRESS //t./c;15eZ>fIllj8l. 2f20()ksiJ/!/g f! 3q~/! <br />OWNER F.eJ9-/Yt!E:5 J11,:;/6.5 <br />JOB LOCATION Iopl; 2e.tJJlY,e '7(itJCj8 '/)fZ. <br />LEGAL DESCRIPTION: LOT(S) I~ <br /> <br />PHONE 90 t/- ??l'-o;27!) <br /> <br />LOT S IZE..&2..X / ()O AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4F D.~-~-.;J../../_~ - 0... o/S.D <br /> <br />WORK PROPOSED:--+-New Constructi(Jn _Addition ____Alteration _Repair _Illstall <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 />_# 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 />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 />$ d-,:l{;O. to <br />I <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 <br /> <br />_Frame _Steel <br /> <br />.0 the r <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company "l3ffl l(ll/.!!>{)No/of tY:rmBNr..-!NC- <br />State Cert. or Regist:. 4F ,373~ <br />City License Regis tration # t.j <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />.... <br /> <br />Company <br />State Cert. or Re~~~r~# <br />City License R~~i~t~~~ion 4F <br />****~***************************~*~~*.*ft***. <br />. .,;'-{)V <br />. :..~ ;~ <br />Company ... . <br />State Cert. or ~egist. #. <br />City License ~egistration # <br />::;.\.. .', **.'I\:******************~**************'****** <br />"<;~;, ~j i i;.~ :'J;' .;.j,; <br />.Ii ',...,<" Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Shmature <br /> <br />PLUMBER <br /> <br />~ : <br /> <br />Signature <br /> <br />I, <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />