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<br />APPLICANT ?~/2 7' J5?'/Jr/?-, <br />. <br /> <br />ADDRESS Jrs-.?-I- S-T# pI//:: <br />OWNER iffn/Z 7' $;;/~ <br />JOB LOCATION 5~ 1- ~~~ vA <br /> <br />/~fn~ <br /> <br />---"""..--- <br /> <br />/S~'.~o A#-" <br />~8 . ~ &;4"- <br />7 .s-. cTV <br />7hYtiT/? ~ ~ <br />PHONE //-;;;- - J' :;;>/ ./ <br /> <br /> <br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LOT SIZE ~t1 x/~~ AREA SQ. FT. ~c1&1 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,jf <br /> <br />~stall#/C <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____4F of Units <br /> <br />.____M I H <br /> <br />____Commercial <br /> <br />____Indust, <br /> <br />____Swim, Pool <br /> <br />Other <br /> <br />~ <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~,,;: <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*~ <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />$ <br /> <br />AMP Service <br />0(' <br />ftJOt) ~ <br /> <br />Florida Power Corp, <br /> <br />_\oJ.R.E.C. <br /> <br />_E~TRICAL <br />v:.~!, <br />____MECHANICAL <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: 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 />r:: e... -- qOB[RT CLOCK <br />ELECTRICIAN - f' ~n'~-> ;, :' , -" <br />I - orA: 'r " - <br />"'Id-~ z0 ~ en /i~.1!., e,~ 3()nl1~1 s.eiB~te-lng Cd It:? <br />Signature I'/,h '<(' ~Y._1~~Se{oR~~~~tion IF ~c:JL'JLJ~6'~t::? <br />** *** * ** * * ***** * ** * ~,*"''if* * ** * * *." <{,." **."" ,,*,' <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************~******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL ..}OI/I'I T ~HAlE'y Company :Le/#/,.(7 <br />___-~- ~. State Cert. or Regist: I" <br />Signatur~- /7 City License Registration <br />~ ***~**************************** <br /> <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY ~~j..:;.~~';.:..*...**....'.* PERMIT OFFICER. <br />