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<br />. . . <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />.("...:b."V.:'/,'l/ ft. t.!?h.?W';'/ <br /> <br />ADDRESS 39) '/ &c'cKt/'7 /2 cl tflAt~;{ Cdf <br /> <br />cAb r/t .s ''''U/~S <br /> <br />JOB LOCATION '39-$>"33 Sztl AIC. LOT SIZE 00 X /30 <br />21;1'/66(0);/ PSt.-/ t~/L)r/j <br />LEGAL DESCRIPTION: LOT(S) BLOCK/~6 SUBDIVISION <br /> <br />PARCEL I. D. # 1/-:2 6-~/-OO/ O-/'7~ClO-~o ?O <br /> <br />APPLICANT <br /> <br />PHONE .56' J;2 3f' t <br /> <br />OWNER <br /> <br />AREA SQ. FT. <br /> <br />WORK PROPOSED:_New Construction ....iLAddition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _~~ of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ S'YO'O ~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />,I' <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <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 />BUILDEROa/VQ/c/ /<' /5;oVVN <br />Signature ~~ ~&-- <br /> <br />CONTRACTOR SECTION <br />Company 00/V4'/.:"/ /t. 4row:;/ <br />State Cert. or Regist. #/(!<.OJ3.,o.S71 <br />City License Registration 4F . ~ <br />****************************************** <br /> <br />ET.ECTRTCT AN <br /> <br />OtM/V-e yo <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sismature <br /> <br />PLUMBER <br /> <br />---- <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />,,--- <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4F <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />..- <br /> <br />Company <br />State Cert. or Regist. # <br />City License R~gi <br /> <br />Signature <br /> <br /> <br />\PPLICATION APPROVED BY <br /> <br /> <br />"1.",~')"Ofl to ~}I,,!:> <br />.t!:.<** ** <br />~PERMIT OFFICER. <br />