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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT R,-o//y,R ~f~ <br />ADDRESS JI'~/r EVeIf'C.et:'~1tI W/#f'" Z? 2- <br />OWNER ~A/AI'? ~e- ~~D <br />JOB LOCATION S-9/b ~ 7# .5'r 2-/~ it. <br /> <br />~/ <br /> <br />PHONE <br /> <br />7?J'-62R~ <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.~F <br /> <br />//"v2"Jr/. COIO - C)b'7LJD <br /> <br />(J 130 <br /> <br />WORK PROPOSED :_New Construction _Addition _Alteration ~Repair <br />p('1i ~ ~.e ~#pmb.vE~ -//QK"v <br />_Sign/Temp. _S1gn _Move <br /> <br />-XInstall <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~F of lIni 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 ROR.~S. ;;" <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~lS.*~ <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 />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />$ <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN ~ ' ~~~ ~\~'-\) Company 7.. -\\.\\....'- L~~~" S~i\.\,jlL\:_. <br />~ ~~ State Cert. or Regist. ,/ 0<:><:> ?-lbli- <br />Signat: City License Registration lfr l~ <br />" . **** *** * **** *** * **** * * * ** * * * *,~;,~:;: ** *;: ;:* * <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signatu <br /> <br /> <br />Company ~#/e .i~ <br />State Cert. or Regist. # <br />City License Registration # <br />********************************* <br /> <br />.R~~~~2o <br />~r <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />