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<br />APPLICATION FOR PEmlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~.~ <br /> <br />ADDRESS .~~ \0 Pc.?~\ocJc.. L-~,~ <br />OWNER c;.l-\- a <br /> <br />~ u ~ LA. \c:. \' \. 'w--" \ "'C IA. 't"l cn..J. <br />2. ~t..h\ \~ lZ'L\A.. .~ ~ ':)'" ( PHONE 1 <N-q ~ 3 b <br /> <br />JOB LOCATION 6"1 ~b \4UVl.11 \\,\\,,\011\\ \.~Y' "'2.'M \\\s <br />. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION S\ \ veVL rJ"'\<; 5 <br /> <br />PARCEL 1. D. ~F <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration _Repair ____Ins tall <br /> _Sign/Temp. _Sign _!'love ____Demolish <br />PROPOSED USE: ____Single Family ~/F ____iF of Units ' _____1'1/ H <br /> ____Commercial _Indust. ____Swim. . Pool Other <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 FORHS,H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />EF.RMTTS 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 /> <br />Signature <br /> <br />CONTRACTOR 0ECTTON <br />Company <br />State Cert. or Regist. # <br />City License Registration a <br />****************************************** <br /> <br />J3UILDER <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Si!lnature <br /> <br />Company ~LJ~ '\ic..; \. v-V \. ~ ~\ \ OV\l <br />State Cert. or Regist. # v <br />City License Registration IF ~\"JO <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />t1ECHANICA1. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERtIIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />