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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT '-----~.( / <br /> <br />::::55 ~r~: { <br /> <br />5338' <br /> <br />JOB LOCATION <br /> <br />~c if 92PT' {1; Ue, {,n,,( l r>'^' <br />s to ~7; -fad!. ~~ PHONE <br />6-//LL- [/ /;~_ <br /> <br />/7 fA. sf-. LOT SIZE_X <br /> <br />$7- t;/5~O <br /> <br />AREA SQ.FT, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4F <br /> <br />WORK PROPOSED:____New Construction <br /> <br />_Addition <br /> <br />/'/2.f? -A 00 f <br />_Alteration ____Repair <br /> <br />;}-~ ~ ' <br />_In tall <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_4F of Units <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />, <br /> <br />_Restaurant & Health Department Approval <br /> <br />Bu:hDI:NG SIZE: <br /> <br />x <br /> <br />Square Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR."1S."">' <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~1 <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E,C. <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 />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION ^ <- __ / /J _ / . /. <br />Company ~ C-t'-1o/-I/' 'L&tt.J "f-ruc W ~:........- <br />State Cert. or Regist. 4F <br />City License Registration # <br />********************************** <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 1 <br />*********************~******************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl <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 /> <br />PERNIT OFFICER. <br />