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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 4A1e.s <br />ADDRESS it ~/~~ <br /> <br />h/?A-kl/ <br /> <br />, <br /> <br />/~ TN fT 7-/lLL <br /> <br />PHONE <br /> <br />7f?J? - ?9,;2 '/ <br /> <br />OWNER <br />JOB LOCATION fAHt"". <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.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 />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____4F of Uni ts <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />f <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 FOR.~S. ,',,', <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />~ELECTRICAL <br />'" <br />--X..MECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.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 ____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 />~~ ~ <br /> <br />:::::~5~'~ Company 'L-"'''~'' '" llic-, S"r~u <br />. ~ (- '=:-:-;0-..-" ,,' s~ate ?ert. or R~gis t. . iF 6 vei '-l L"r <br />'__ )). C1 ty L1cense Reg1s tra t10n iF l t) <br />.-l',. . . , -/ <br />Q - ...................................., <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />b,;;'/lrJe <br />'" <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />~~E <br />A'/llJb~o&,20 <br />3'9 <br /> <br />Company <br /> <br />********************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />