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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />S()A/S/lt~~ <br />3 '$ 5,;2-9 <br /> <br />Me-V1K. y <br />f <br />5fC #~ <br /> <br />PHONE <br /> <br />773f' <br />( <br /> <br />9s:?! <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />s,wt <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 1. D.~' <br /> <br />WORK PROPOSED: ____New Construction ____Addition _Alteration ____Repair _Install <br /> _Sign/Temp. _Sign - t'Iove _Demolish <br />PROPOSED USE: _Single Family _M/F _IF of Units __H/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />.~ <br />" <br /> <br />_Restaurant & Health Department Approval <br /> <br />BU~LDING SIZE: <br /> <br />/2 x/(p . <br /> <br />19 ;;- <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 FOR~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 />~ 15m .(;W <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_h'.R.E.C. <br /> <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 <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br /> <br />CONTRACTOR SECTION <br />Company ~,r.~~ <br />,a-"7/!#7 /? .". /1 State Cert. or Regist. iF <br />~ ~ City License Registration # <br />****************************************** <br /> <br />#ct/I( /"Pdt( <br />7/ <br /> <br />~c. <br /> <br />Signature <br /> <br />EI ECTRTCT AN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************~******************* <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <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 />