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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT AAI', <br />ADDRESS 3 ?{ q I 'i <br /> <br />I1tJ1df/<,' c h <br />C(N! !IJ t/ / <br /> <br />PHONE <br /> <br />.1f)'-13/D <br /> <br />'. <br /> <br />OWNER <br /> <br />5q FY} t' <br /> <br />JOB LOCATION <br /> <br />5/{ "if f ~ <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 .1~ " - 2 h - 2( - f/t:J It; - /& .'>I6J~/ - lift? <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <br /> <br />. /Ke -Y;ffl , <br />..L-Repair _Install <br /> <br />____sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />_~~ of Units <br /> <br />, .____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t I <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 />pERMITS 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 />GAS <br /> <br />Valuation of Mechanical Installation <br />~ ROOFING SPECIALTY <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />. <br />_PLUMBING <br /> <br />0'" . <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTQR ~. ~~ -,; <br />. Company \if ~LVLW S;A I J1l e . <br />__ State Cert. or Regist. i~ ~('J)O Z. I <br />City License Registration H Sf{ <br />****************************************** <br /> <br /> <br />Signature <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRTCT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~fr <br />City License Registration # <br />****************************************** <br /> <br />. PLUMBER <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. H <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFIC.ER. <br /> <br />APPLICATION APPROVED BY <br /> <br />.n~',...~.,~. ,.~ <br />