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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~'BRr 0; b\~) ~a.,^\ <br />ADDRESS 3'1, \ <g S~ Av-L . ?~h~h~cL <br />DWNER ~Cl2/ r ~ \ bl ~ <br />JOB LOCATION 34 \ ''i< ~ ~ <br /> <br />~Lh~r <br /> <br />PHONE <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <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 Uni ts <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />~ <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 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 />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />i<!'fr <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_h'.R.E,C, <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 />~*******H**~~:;;:~;~;*;;~;~?;/5**;**~ / /l j I <br />r- Company ~ r{}~ LA wC V1o/J"- ~,\ 'hr(A( ~--. <br />State Cert. or Regist, # <br />Signature City License Registration if: <br />*********************************** <br /> <br /> <br />ELECTRTCT AN Company <br />State Cert. or Regist, # <br />Signature City License Registration 4~ <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration :fr <br />**********************~******************* <br /> <br />MECHANICAL Company <br />State Cert. or Regist, # <br />Signature City License Registration ~F <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist, if: <br />Signature City License Registration if: <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />