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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />lPoB~ L.. fhlhRD <br />12~ I N. b Lc.7J /tV c <br />OWNER kEN + 51tND~i' <br />JOB LOCATION G 1'35 Jo tit 5T <br />'33 <br /> <br />'T>>m~fi / Ft.. <br />. <br /> <br />NE:7-St>,J <br /> <br />-'3 ~~HONE(g 1]) <g-J+-51~ 5 <br /> <br />APPLICANT <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK '2. <br /> <br />LOT SIZE~ AREA <br />SUBDIVISION 'TY~()1lJ <br /> <br />SQ. FT. <br /> <br />PARCEL I.D.# (logo -6C>'2t>o - 0330 <br /> <br />WORK PROPOSED:_New Construction _AdditioL _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 />_IF of Uni ts <br /> <br />~ <br /> <br />Approval <br /> <br />_____N / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />S71..,!p~ <br /> <br />Other <br /> <br />, <br /> <br />____Restaurant & Health Department <br /> <br />BUfLDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />He igl It <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 />2}400 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />,~ <br />____MEt:HANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\\l.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLlmBING GAS <br /> <br />ROOFING SPECIALTY <br />_Frame _Steel. ~ ~ <br /> <br />TYPE OF CONSTRUCTION: ____Block <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 />ElECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si!!nature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************t-******************* <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration 1 <br />****************************************** <br /> <br />OTHER 5()l.J9F< EJI~Y IN~Lp/dN <br />Signature ~.;(~ <br /> <br />Company lit/VI VIPCI/I L <br />State Cert. or Regist. # <br />City License Registration <br /> <br />~x c>oS;-cr2 ~ 7 <br />iF .s- S? I <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />