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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT _E~t\o &.fs~ M~ ~"\ =CUe.. <br />ADDRESS 3~~3 ~CJ.)'1 ~e\ Sb~'n'" -:DA:b~0.lP"1\ PHONE Sd..l3'4-9 <br />OWNER N\ I LFD~""D "L, LLd\N ~ A~"RClv..::>.s.. <br />JOB LOCATION ~-3~~So ,u~~..r\4 ~\Ie... LOT SIZE_X AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.# II ~<.o ~ l <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />0010 DD(c,OC> 001 Q <br /> <br />WORK PROPOSED:____New Construction ----Addition ~lteration ~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 Uni ts <br /> <br />,~/H <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ITACH (2) PLOT, PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS." <br />COMMERCIAL: 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 /> <br />I So AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.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 _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 />::::::~ Company 91kMAN ~~5'rEMS <br />:.--- ~:::;;z.. State Cert. or R~gist. .11 E(l_~~C4ql <br />~ City License Reglstratlon # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Company Ek)V'~"-IIV\EAJTI\L ~".j'rii::.Itr<:L\o~s... <br />State Cert. or Regist. # OA(l~~;;f:l~ <br />~ City License Registration # <br />****************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />