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<br />APPLICATION FOR PE~~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />7~//j/-e ,.;:&?~.. / ~y,ve ~A/eA!- <br />..r6,oy ~.,II fI / 3tfoWs- E/~,~tpA,/ PHONE <br />, <br /> <br />d/dy'A/~ ~~~ <br /> <br />, <br /> <br />fZoY U #1 f~ <br /> <br />I <br /> <br />7..fJ"~~rb-3'f"~ <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_____~ AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br />c;2?O,v ~~"r J1c/S re~ <br />WORK PROPOSED:_New Construction _Add"ition _Alteration _Repair <br /> <br />L-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 />_4~ 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 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 />1ELECTRICAL <br />-L-MECHANICAL <br /> <br />$ <br /> <br />~... <br />'?//J' ,- <br />/50 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />;< Florida Power Corp. <br />, <br /> <br />_____W.R.E.C. <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:::::::~ Company '2-~~,,,-s ~L'k.~ <;eo<v. <br />State Cert. or Regist. # l""X-~CJ :;l...u..~ <br /> <br />. - --. -. .*.............~~;~.;~;:~~;*~:~;~;~:;~~: iI Ie, <br /> <br />PLUMRER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHA~TCAI. ~~ Company ~""## 4,ee <br />(/ .... State Cert. or Regist. 4ft ~.#~ZPt!:1~;!:,P <br />Signature City License Registration l~ J~ <br />..' . ~....~: ........................**........ <br />/ <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration iF <br /> <br />; - ****************************************** <br /> <br />APPLICATION APPROVED BY PEID1IT OFFICER. <br />