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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />MiLL/AN 14A1.P#~iIf,e /~...v ~A/A/eY <br />/ I' <br />5bt/f 9 7'" f T Z-A(LL> PHONE 7J"1'p1~7~ <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />/1f!S' ~Lt! <br /> <br />BLOCK SUBDIVISION <br />.3' %M p(P..I.7-e ~~/ ;3..y~ <br /> <br />PARCEL I. D. ~F <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair .,.2(..Ins tall <br /> _Sign/Temp. _Sign _Mo\'e _Demolish <br />PROPOSED USE: _Single Family _M/F _# of Units __M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />f <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 FOR~S.*:; <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />~ <br />dl?.?/' '!Ji <br /> <br />PERMITS REOUESTED <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />r6 <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\<l.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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN \:.<., \)~~~~Gv.:> Company z..-\..\l~\.~ ~~C.\. ~a:Il.';. <br />~~~' . State Cert. or Regist. # VCJO ~lCD~ . <br />Signature ~C::-\ ,,-' , City License Registrat'ion 4~ C U <br />"**************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # ' <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br /> <br />Company ~~d;Yft!! d~e: <br />State Cert. or Regist. 1,1 R..#CiCJ&;~~"2- 0 <br />City License Registration iF <;}1?' <br />********************************* <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />