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<br />APPLICATION FOR PERf-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />G')fJ~k! si~_ l! c;t <br />/ I >~/~ <br /> <br />..-r- .-.- f It) -f -;7;2 <br />-Lnc. ~11~/2.Ctt;#~ <br />PHONE 7? '2.. - 7~7.s'd> <br /> <br />s-o ~Th -.{!r Y7 ~ <br />ADDRESS '3 frY.5" 0 S~;qlA-/e.. <br />OWNER ~ lYla~O., <br />/ / 7 Uo ~ h F-1-: - _.-of_ <br />JOB LOCATION + _ Lf.L ~ <br />LEGAL DESCRIPTION: LOT(S) / <:j~ I V BLOCK S-? SUBDIVISION yyJt)~, ~ J ,/--;;-rr-r- <br />PARCEL I.D.IF /4J-.,.~/\..., p~ 8~ I fM7 S 711/-~~-;zj-OOIO-O~30()-tJI3{) <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair ____Install <br /> <br />APPLICANT <br /> <br />LOT SIZE.j;1tl~ /O() 'AREA SQ. FT. // -tCJt.?tJ ' <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />____IF of Uni ts <br /> <br />,____11 / H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br />I , <br />BUILDING SIZE: I~ X ~q, ~ - Square Feet, <br /> <br />1'. <br />c. ~ rr? - 8" Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOr PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS. H <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 />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 <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />A***************************************** <br />L. CL r . SECTION. ' <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br /> <br />c_ <br /> <br />..---:- <br />Signature / I)~ <br />, <br /> <br /> <br /> <br />PL11MRF.R ~ <br />Signature \. .' <br /> <br />Company <br />~ State Cert. or RegiS'. I! t'JOOL~ <br /> <br />*****************~~~~*;~~:~~: *~~~~~;~~; ~~~~ ~F <br />Company C~~ ((o~.~ fjJL'i'~ <br /> <br />State Cert. or Regist. # <br />City License Registration!fr I 2~ <br />****************************************** <br /> <br />1t1~ <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 />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*;:~..~;;:;;;~...*...*'.~,.= PERMIT OFFICER. <br /> <br />>_i4.'l" ',t. <br /> <br />,\' <br />