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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />vo t-fr/' ~b1Io/a / <br />-5 t <; S /'1 K g,-- <br /> <br />PHONE <br /> <br />7?t~ 700<6 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />J I ,...2 (0 ;Lf <br />, '- <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br /> <br />ImIV <br /> <br />/o9{}{) <br /> <br />'lJlJ ID <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 Units <br /> <br />____M/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />'~, <br />..- <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUJLDING SIZE: <br /> <br /><:tl XIO <br /> <br />c1-7) <br />'?:>V <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 FORNS. ,,:-/, <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />i . c .aV <br />i {;, 7 -5' 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 />Signature <br /> <br />CONTRACTOR SECTION c-J <br />Company ,20t{6~ <br /> <br />t,-/7.i If} ~,--,..", ~ ,:, State Cert. or Regist. # <br />~ ~ ~ City License Registration # <br />****************************************** <br /> <br />4-CrJ t1lo/' () .y We' <br />77 <br /> <br />BUILDER <br /> <br />ElECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************p******************* <br /> <br />PUJMBER <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 />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIi' OFfICER. <br />