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<br />, , <br /> <br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />B~~ \rS AI u h1 ;1')U vY) <br />A~~[~ ~~3~~ ReI <br />JOB LOCATION ~ 'Jis9d Pt'IJ'('~~t- <br />eel I t.. tV! Y' <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />7'2J.- ~~1I77J <br /> <br />LOT SIZE 50x.15. AREA SQ.FT. ()701 <br /> <br />PARCEL 1. D.lF <br /> <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Repair ____Install <br /> <br />____Sign/Temp. ____Sign <br /> <br />____Move ____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />_____M / H <br />~~~ Reot'\1 Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____IF of Units <br /> <br />____Restaurant & Health Department Approval <br />BUILDING sIz~istr\n~ -0 L~ey\ .fuJ^1 <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 />OdWOO <br /> <br />PERMITS REOUESTED <br /> <br />4ILDING <br />-l.L.-ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <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 />() ,- ~ l CONTRACTOR SECTION r1 h J..t <br />"",C{'Y'OI, 0A\r Company 'J)~ Y'.5 <br />. IC? ' State Cert. or Regist. IF <br />"-Jt-. IJ c~ City License Registration <br />...................~..*.....*....*.....*. <br />r-" ~f (1 <br />r. ':2 1/ ompany <br />State Cert. or Regist. IF <br />ity License Registration <br />******************************** <br /> <br />&brvU 2;;co (:) IoD1) <br />IF .)~9 <br /> <br />BUILDER <br /> <br />Signature <br /> <br />,51 <br />, <br />IF <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />COlI}pany <br />St~te"Cert. or Regist. iF <br />City iicense Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration IF <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />