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<br />APPLICATION FOR PE~~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT cr "~J (\, S~';" <br /> <br />:::::s:1f!~ r-:JL:;;-. ~ PHONE~/3* ?RF':.q~' <br /> <br />JOB LOCATION3/f1/()3 /tl ~, LOT SIZE_X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S)[/lttlfIJ:J. L"r/' ?~~cf I~SUBDIVISION <br />. <br /> <br />PARCEL I. D, ~F /I-;Jc;.. d2/ - c..-d /0 - C; I (,(}O -'~ 0 ') <..) <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim, Pool <br /> <br />,____M / H <br />;: ~e,e,; Other <br />. <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Units <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 />'f.VJ'r'i, ~. <br />~M <br />t V BUILDING <br /> <br />,:-! <br />$ q()c>. <br /> <br />PERMITS REOUESTED <br /> <br />j'f::... <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 ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />..S'" I ,.-: <br />A" l-; <br />,~ii'''t .,/ III <br />'l. ".......4""1 <br />I; <br /> <br />CONTRACTOR SECTION <br />Company <br />n .' State Cert. or Regist. # <br />'. (,.;t....'t..<'t,l~ City License Registration IF <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLL'MBFR <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 />PERMIT OFFICER. <br />