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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT :J]~J1 n1A5{)AJ~j+-(lE:rm;::NT INc'. <br />ADDRESS J/t./rJtj, <;.t;))/-in:;' r q, '7J/2adt5ull/~ J2346/<4HONE <br />, <br /> <br />OWNER f/ tI R I N1'Ye,,, -nq~ <br />JOB LOCATION ,-1?i'/IJ7 ll)/AlrHl? \/2.. <br /> <br />9tJl/- ;799",,-)";:;270 <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 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 />____# of Units' <br /> <br />,____M/ H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <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.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-LBUILDING $ ;;),/)O() ,oD <br />, <br />____ELECTRICAL AMP Service <br />I <br />____MECHANICAL $ <br />____PLUMBING GAS <br /> <br />Valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />~d 'L5I(JL <br /> <br />CONTRACTOR SECTION <br />Company ./J"';-II,7J f*5DN/CV Y (iJ'Il/-rNT lVc. . <br />State Cert. or Regist. f~ :3W <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ET.F.CTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*******~********************************** <br /> <br />Silffiature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />f, <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />.' <br /> <br />OTHER <br /> <br />. ;..;.'J.:. <br /> <br />Signature <br /> <br />'~~..,~t <br /> <br />J{,:'~ !. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />