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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />01!J-aY1(l,VP L ,51 ~5{~' <br />",'7 D L/- 7 f1h. St, '2f/:n'/1"11 "tU) <br />-~o/he O-",{ abo(V <br />j(ime- to a0ou-e I1ACU-eJ!;' <br /> <br />I-i- <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />" <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.~~ J/~02u - a/-()1)(O - ~o1c1) - LT7) II) <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration LRepair ____Ins tall <br /> _Sign/Temp. _Sign _Move ~Demolish <br />PROPOSED USE: ____Single Family ~/F _~~ of Uni ts ,._M/H <br /> _Commercial _Indust. _Swim., Pool Other <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) S~T ENERGY FORMS.** <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 />Valuation of Total' :Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Flo~ida Power Corp. <br /> <br />'__W.R.E.C. <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />. / 11 &l/15. ({) <br />v' ROOFING SPECIAl,TY <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />:! ~I ' <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert.or Regist. II <br />City Licen~e Registration ff <br />****************************************** <br /> <br />JHJ1LDER <br /> <br />SiQ:nature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration.ff <br />****************************************** <br /> <br />f,LF.CTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. II <br />City License Registration ff <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City Licepse Ref?istration II <br />******************-1;.*-A:t*.*.~>'t*****'';.*'**.****** - ~. ' <br />'. . . __. _ ,f.. S>f.J::UtYL <br />.. '...'. -! , . , <br /> <br />Company ~ tD <br />State Cert. or Regist. 0 <br />City License Registration <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />'-'-APPt~mOVED BY <br /> <br />" . t <br />"_-''''';''~~".'<<>''_''W;:~' <br /> <br />" <br />~"'_"'(.AI_' <br /> <br />.. ". <br />4....,.4~-'t'<.~1lI!1 WLl .~~"'~~ <br />