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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Lo~C.\'f't... t.<t..~~f S- 1 ):\0~ . <br />- <br /> <br />ADDRESS ~~3 S Go..\..\.. ~ \ vd. i=t ~ <br />OWNER C.- O'f..J ~ " ( L. c..- 't.. \0\.ce f ~ 'r ~c....,; <br />./ <br /> <br />~~ O_L\ _00-\ \ ~\ \j &.. <br />LEGAL DESCRIPTION: LOT(S) ~,?,^-O't, \ 01\ BLOCK <br /> <br />APPLICANT <br /> <br />PHONE ('101.\) S<O 1- ~~1:L <br /> <br />LOT SIZE_X AREA SQ. FT .J~60 <br />SUBDIVIS ION ~ o\.U~ 'U\ ~ <.U Si u....~ <L <br /> <br />JOB LOCATION <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />____Sign/Temp. ____Sign ____Move ____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />-Lcommercial <br /> <br />____M/F <br /> <br />____4F of Units <br /> <br />.____M / H <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 />/' ELECTRICAL <br />/MECHANICAL <br />~LUMBING <br /> <br />$ <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 />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 /> <br />CONTRACTOR SECT~ <br />Company ~J.~ \:)~UE.\a f. \'kf.tU~ C.(j~fo...kJ~) "t,..c. <br />State Cert. or Re ist. lF c..~C.6l0ct~3 <br />City License Registration 4F <br />**************************** <br /> <br />Signa <br /> <br />ET.F.CTRTCTAN <br />Signature ~ 7J... <br /> <br />Company ~ 0..('\ \ ~ t l t e..-\. '\- \ c.... <br />~ l State Cert. or Regist. #I.:RoQ II11 0 <br />- City License Registration 1F I Sf <br />*****,J*********************************** <br /> <br />Signature <br /> <br /> <br />.1St. <br />City License'Registration <br />*************************** <br /> <br />Signature <br /> <br />Company go~vu~\ ~ <br />State Cert. or Regis # <br />City License Registration # <br />********************************** <br /> <br />-# ";).- <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />'/1/1-1A~~d _#~ <br /> <br />PERMIT OFFICER. <br />