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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />~/V S 7' ~. C2'~ IrrA~ <br />7 7 .+,~ /--;j. ~ A/~_ <br />. // <br />X>;v C...,. U "-' I /1 9/ <br /> <br />I~?yl y-fl /( <br />( <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br />'? G ?s'~..z <br />,)()~ <br /> <br />It? "t- ffJ e.. <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. ~F <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Ins tall <br /> ____Sign/Temp. _____Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _# of Units ._H/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X_I <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 FOR~S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.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 <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 /> <br />CompanY h'R. -:d- (? /rt >' 5 <br />State ~ert. or Regist: # <br />City License Registration # <br />************************************ <br /> <br />----- <br /> <br />b~cTL :e- <br /> <br />/ <'~'7 <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />OTHER <br /> <br /> <br />.,J;,. Company r'" u: C,,~ Ir<~~ ~..~ ~. <br /> <br />State Gel' . or gist. # <br />r City License Registration 'F 7 I <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~******~*************************** <br />dAu"(] p /) ""')~ r <br /> <br />PERMIT OFFICER. <br />