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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br />t:f-. <br /> <br />'.?~-:C,....l ~/,-~,. <br /> <br />.; i <br /> <br />t:' <br /> <br />PHONE ?/.3 - ? Jig;-... /3?~ <br /> <br />ADDRESS <br /> <br />OWNER - <br /> <br />JOB LOCA ION / () I (..,; LOT SIZE_X AREA SQ. FT. <br />t"'..L J.J- ?-y 9 Iv <br />LEGAL DESCRIPTION: LOT(S)C~ /b fA.1:f BLOCK / t; SUBDIVISION <br />, <br /> <br />PARCEL 1.D.# 1/ -;2(;,...;2./ - Od /0:"'-0 l~dO -C/O) c.J <br />WORK PROPOSED:~New Construction ,____Addition ____Alteration ____Repair ____Install <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 /> <br />P'ui~ <br /> <br />. <br /> <br />Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />_4~ 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 FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~G <br /> <br />~.90 crt-. <br />$ 0, <br /> <br />PERMITS REOUESTED <br /> <br />It)! <br />J <br /> <br />() f" \ <br />/Wli fC ,Ri/N) <br /> <br />Valuation of Total Constructioq. l! /r.).~l <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.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 /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BlJ1LDER <br />"- <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist, ~F <br />City License Registration # <br />****************************************** <br /> <br />PUJMBFR <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 />