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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT ~'e Eleclr;?;'-c- <br />ADDRESS .zq III p##i~ RcL <br />OWNER ULtJ I~ /J1 /lAI"/ <br />JOB LOCATION ~.3 Cf5 ~ ~ <br /> <br />PHONE 7<<Z-3.~/ q <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 1. D. # <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />_____M / H <br /> <br />!If dz~Lt}~her <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____# of Units <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 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 />~ECTRICAL <br />"'MECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />tfrbl ~ <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: <br /> <br />FT. <br /> <br />t <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. ff <br />Signature City License Registration # <br /> <br />AN ...........*....*:::::::.*.~~..~;~ <br /> <br />:E:IOT # ~N /') s~ate ?ert. or R:gist. .4F G L- dblJ5' /Z7 <br />.sigllili!!!:~ ~~ C1ty L1cense ReglstratlOn 4F tJS'/ <br />--- - - ....*.*....*........*........*..*.*.*..*.. <br /> <br />PLUMBER Company <br />State Cert. or Regist. ff <br />Signature City License Registration 'F <br />****************************************** <br /> <br />IJECHANTCAJ. Company ?~ ~ <br /># IV Q State Cert. or Regist. 4f ," eA '()l,qz,t.I or <br />Signature '/1 /~f. - City License Registration ;f _ ,,"> .S" <br />, J ****************************************** <br /> <br />Company <br />State Cert. or Regist.# <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*~**********:"'**o7***, *********;:~****'**, **-f: <br />H"'~~ 2S....,zA.?>-' .' . . .PERMIT OFFICER. <br />