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<br />APPLICATION FOR PEmlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-lENT <br /> <br />LIC #2- <br /> <br />APPLICANT /< t!!-j'1 /./ 4- rz...J2 C;; I 13 <t} ;'.ftI~( , <br />ADDRESS ;.. ft(,7.-'2.- '/J-vV'1 S'l-f.. 'E:. <br /> <br />f(--e IV N A (Z.. ~ ., (} I (3 f1, 0 1-1 {. <br /> <br />JOB LOCATION J s("~7-. 7- /J,-,,-, 1 L{ L( i- <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />F~ @L (; <br /> <br />IZAn <br />7 ~2- - 3 ( q g- , <br /> <br />PHONE <br /> <br />OWNER <br /> <br />LOT SIZE X <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.l~ <br /> <br />v{ns tall <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____1~ of Uni ts <br /> <br />.__M/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim.. Poo 1 <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COH1'IERCIAL : <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.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />EERMITS 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 />_\-l.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.' <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 />DlI11.llF.R ~~ <br /> <br />Signatur -- ~ 1.1. <br /> <br />CONTRACTOR SECTION . <br />J.3 ~ 7' . Company tip n 1< ( -4 L " ,..-.. . <br />State Cert. or Regist. Ii 1\)( on~1 ~ It! <br />':5<{ tf] r ~, City License Ecr~is tra t i.nn II 2..-. <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Ecgistration # <br />****************************************** <br /> <br />f,LECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. Ii <br />City License Registration 1 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />****************************************** <br /> <br />PERHIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />