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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /><- <br /> <br />APPLICANT e (4/ I c: c:I--- /)1/l-/'V JfJU (~~ <br />ADDRESS 7fS1.-1f>fJ/c:;>b4-t ~ t. / <br />OWNER ~4rn-fZ <br /> <br />GI/6e/- <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D,t~ 5.tJ- ;:}'S--;J') - VO.s:-O ~ ooc:r-:;C)- eo 23i:) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp, <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />____i~ of lIni ts <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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,u <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOill'lS.** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />lLMECHANICAL <br /> <br />AMP se&B-ce <br /> <br />~ ~(!7~1 Valuation <br /> <br />Florida Power Corp. <br /> <br />_W,R,E.C, <br /> <br />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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. U <br />City License Registration 6 <br />****************************************** <br /> <br />BUTT.DER <br /> <br />Si!mature <br /> <br />Company <br />State Cert, or Regist. 6 <br />City License Registration 6 <br />****************************************** <br /> <br />ET .ECTRT ClAN <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. ~ <br />City License Registration 6 <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANTCAT~, <br />Signature ~ <br /> <br />" <br /> <br />co-,pan$C;<S /tiC ~ <br /> <br />I(f~~ St,..te Cert. or Regist. Ii (E. - -. ~ - <br />Cit.y License Registration IF r <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 6 <br />City License Registration 6 <br /> <br />APPLICATION APPROVED BY <br /> <br />* ** ~** * * *** * * *;:g * * * ** * * ** 'I:;: ,':;: * * * * * * * * * <br /> <br />7l. if /1/1 f' -' c:1 1J ~.A)A-r: <br /> <br />PERMIT OFFICER, <br /> <br />,'~' <br />;~. <br />