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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ALum.4 - TILE: 'Kmffies.. 1,..Jl-. <br />~ 'jJ6/~ <br />ADDRESS 533 Fitf-KeJl3ve.& RO 1+-1'30 Itl11tPIl.Ft. PHONE <br />, <br /> <br />D V I e I -e <; M I i--'~ <br />JOB LOCATION 3~ t, 38' <br /> <br />APPLICANT <br /> <br />;?r3 .'6rs- ~ c)..t.lt :)/ <br /> <br />OWNER <br /> <br />(JIED/YItIlT A-/l. u;f;f/A,/{ ljfr~zE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />3S - ;25 - .;;l / - OOS-C)- 00000 - CJ?~50 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp, ____Sign ____Move ____Demolish <br />PROPOSED USE: -x'-Single Family ____M/F __# of Units .____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 />1'10{) . <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 />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />?/d~' 110 <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />____M~-CHANI CAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />x <br /> <br />. <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Sll;>:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.F.CTRICIAN <br /> <br />Company <br />State Cert, or Regist. 4fr <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 />Signature <br />l'~ <br /> <br /> <br />~ <br /> <br />Company f}U,/h14 -"f;U: ~&,Cc;e-s /,1\...1 c . <br />State Cert. or Regist, # C(!cO l/??70 <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />