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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT _\)\'I\trflf ~~'t\j-ln~dI0i11 \ \~lC <br /> <br />ADDRESS n~ j \--\1U\J ~~\ ~\\)"f~t i <br /> <br />OWNER \1\~* (1\Q9A rf',\ArttlM\l\\1\\'V\ <br />l~ 1) .. f: <br />JOB LOCATION 31;< ~?c:;- - ~9.?3 \ <br />"3 02.40' ~ ,"t(. <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />})(i ~v C~\1. \ \-'L <br />~SSoc . <br /> <br />PHONE <br /> <br />SMI F5W-l.(o M ' <br /> <br />lnh"l}OO~ <br />llroY'llU 00 c\ <br /> <br />~~ 1\ ( -e- <br />\ ~('{. <br />BLOCK <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration <br /> <br />~-l~o~ <br />~epa1r <br /> <br />____Ins tall <br /> <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ____Single Family _M/F _# of Units .~/H <br /> _Commercial _Indust. _Swim. Pool (llJ\\.!D ~- Other <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 />_BUILDING <br /> <br />$ $5) B4G DD <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTjlER Ko'~ <br />Signature --#~~~ <br /> <br />Company {VL \ ?JAr (L~~lI!l( h .h'\ \v\C. <br />State Cert. or Regist. # RC ()OSC;Z15 <br />City License Registration # ~~ <br /> <br />****************************************** <br /> <br />APPLICAT~qN APPROVED BY <br /> <br />PERMIT OFFICER. <br />