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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT ~'1.:4 f/Q n 1) . A-vll. d!ob~ ~ f~ <br />ADDRESS S-s- 6..0 L"'rt:-~'7 ?-i. &, ;R).~PHONE 7lM - 5' I ~ '1 <br />d 1 tf' ~o 6~ <br />fL~ A e ." Yl <br />~~ <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK SUBDIVISION <br />~g - 5"- ~ <br /> <br />LOT SIZE U!>- X / 0 AREA SQ. FT . <br />(;;t:I, /i-v..Jl C o-;:f- <br /> <br />JOB LOCATION <br /> <br />PARCEL LD.# <br /> <br />{?- -d-.-b - d.-I <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 Uni ts <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 />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. *./< <br />**COPY OF CONTR\CT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />ANP 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 SECT~N . <br />BUILDER .... 0 lJ. 4-/. l.A-wt1~ Company -IOU +" +~ ~) U,...w} <br />, State Cert. or Regist. # ~"t'JOS9 oS!> <br />Signatur ~ /' t City License Registration 4ft (j? I <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4ft <br />****************************************** <br /> <br />Sirmature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Company ~,'. <br />State Cert. or Regist. 4ft <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4ft <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt1IT OFFICER. <br />