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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />!(e'-N <br /> <br />ADDRESS /....1) T <br /> <br />"'2-<, <br /> <br />R-/C-J1 <br /> <br />5 Le '<' r"1 <br />(( / C ~' <br /> <br />HcJLLaw 71 l <br /> <br />PHONE <br /> <br />I J-',=~ - <br /> <br />73 ~s <br /> <br />OWNER <br /> <br />I (c I'( <br /> <br />JOB LOCATION <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.~F <br /> <br />lId-' c) v(, <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 />____1F of Units <br /> <br />.____M / H <br /> <br />____Commercial <br /> <br />____Indus t , <br /> <br />____Swim, Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant <br />If / <br />>0 X <f ' <br /> <br />& Health Department Approval <br /> <br />( <br />') S~I <br />J.-... '-I (( Square Feet, .L_ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTAGH (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 />PERMITS REOUESTED <br /> <br />~UILDING <br />V ELECTRICAL <br /> <br />$ <br /> <br />qc;o,oc) Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_H.R.E.G, <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBING <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 />( . GONTRAGTOR SECTION ". <br />BUILDF.R ~ L v ~ Company de", a :; /') L 't ~ <br />~ . State Gert. (or Regist. iF If?. ~ 0 t7 - . IC( <br />Signature(:. ~ . G ~ Gity License Registration 4F -7.- <br />****************************************** <br /> <br />Company /~(~I h t-t/I1r"'v-) <br />State Gert. or Regist. 4F <br />Gity License Registration 4F <br />****************************************** <br /> <br />ELECTRICIAN 0 L.LJ y( l2- (l <br /> <br />;(tl7 / I J1 <br />Sismature - ~A'I <br />/ <br /> <br />PLUMBER Gompany <br />State Cert. or Regist. iF <br />Signature Gity License Registration if <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist, if <br />Signature City License Registration !F <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. 1F <br />Signature City License Registration if <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />