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<br />APPLICATION FOR PEmlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />/)J-t-j,UJ- S/oC<Je~/( <br />'S reS I 2 'J ;..J <br />5/l/J\ CL <br /> <br />s.r <br /> <br />2-h,lls <br /> <br />PHONE 7'~ J -, ~ 3>08 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />" <br /> <br />JOB LOCATION S'~)" ( '2 3 i'.J oS-7 <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL 1. D. i~ J ~ -J.. ~ -?J0 O~ fJ - 0 / /t!1 0 <br /> <br />SUBDIVISION <br /> <br />C)O~O <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Hove _Demolish <br />PROPOSED USE: ____Single Family _M/F _t~ of llnits ._M/H <br /> _commercial _Indust. _Swim. , Pool 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 FOR}lS.~'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />~LECTRICAL <br />~MECHANICAL <br /> <br />Valuation of Total Construction <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 />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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />JHnLDER <br /> <br />:T;::::::'~,;r~/__ <br /> <br />Company ;fc e fJ eFH ~ <br />State Cert. or Regist. i~' Soo 000 (; ( <br />City License Registration i~ '-/ '/7 <br />****************************************** <br /> <br />Signature <br /> <br />Compa.ny <br />State Cert. or Regist. a <br />City License Registration 6 <br />****************************************** <br /> <br />PLUMBER <br /> <br />OTHER <br /> <br /> <br />Company 1)<:. -c a (!.pl- 't ~ - <br />State Cert. or Regist. i~ elf-co JCI?J S- <br />City License Registration # ~ 3 <br />********************************* <br /> <br />Signature. <br /> <br />Signature <br /> <br />Compa.ny <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />APPLICATION APPROVED BY <br /> <br />~*************************************** <br />/1OU'A0,~ "^'''-' , <br /> <br />PERt-lIT OFFICER. <br />