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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~d ~<:::";c;:h~r <br />ADDRESS 8;3d-. S WU)~ erg :~ort.. (~, +~~f <br />~~U--er 6.. rD~~r <br />JOB LOCATION :)7 5~ 'CfyJPfl1 lL)*ee f <br /> <br />C10l/~S707~? S~{) <br /> <br />OWNER <br /> <br />LOT SIZE_____~ 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 _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _# of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />, <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 FO~~S.** <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 />d.750. OD <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />4' <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLL~BING GAS ~~'~~ROOFING <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION . <. h r :.. _". \ ~ <br />Company '-lC ~(' ~v\.)-\YUQ. <br />State Cert. or Regist. J <br />City License Registration # '7'",) <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 # <br />**********************~******************* <br /> <br />PLL~BER <br /> <br />Signature <br /> <br />MECHANICAl <br /> <br />Signature <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 # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />