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<br />APPLICATION FOR PERI'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />fit'. . Air~ <br />~ " <br /> <br />7/C--! ^-. <br /> <br />J:7'€r- ..5 <br /> <br />ADDRESS <br /> <br />Lo..nrkl/"'t!...1r- <br /> <br />PHONE /53 -$7~ I <br /> <br />OWNER <br /> <br />..5o~-e- <br /> <br />JOB LOCATION <br /> <br />..s;;"...... -e....- <br /> <br />LOT SIZE~X/.;2.S"AREA SQ,FT.q37J <br /> <br />LEGAL DESCRIPTION: LOT(S) 01600 BLOCK00oo<J SUBDIVISIONA0b <br />PARCEL I.D.4F 3S-~..2.J-~/ -00.50 .-o(OOOO-~OD <br /> <br />v/I lOt.(} 'f' <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_4F of Units <br /> <br />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~ 3b'~/I 9--. / 9 Square Feet, Height <br />X. , <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS . ,~* <br /> **COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />LBUILDING <br /> <br />c>O <br />$ AOO .=- <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 />_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 CoN'..~rf!..,. ~Other <br /> <br />FINISHED FLOOR ELEVATIONS: ~/c.r 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 />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, if <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signa ture . <br /> <br />OTHER <;"'~~ Te, <br />Signature_ . ~ t:Z~, <br />, <br /> <br />Company II~ fJ ~ #'l. rf. A-t t/ /'-"1... Ie "1..t/, s ~D <br />State Cert. or Regist:. # RJLI.'tJ ~<-/R/Lf <br />City License.Regis):.ration '# .....L Cj - <br />. . <br /> <br />~***************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT QFFICER. <br />