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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />,-~ <br /> <br />l}1~rr;c <br /> <br />APPLICANT <br /> <br />/ I?~ <br />( <br /> <br />3& '1.</ <br />(D '-'Y7 /P? ,p /' /' )" 'S' <br /> <br />,A) d2?<..) <br /> <br />CJ'J-t{f? <br /> <br />t!/-JP <br /> <br />PHONE <br /> <br />?BDZ~~'.(f)7 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION :;: ,AJ.P7-> -( <br />LEGAL DESCRIPTION: LOT(S) ~ <br /> <br />LOT SIZE_____X AREA SQ,FT. <br />BLOCK I SUBDIVISION iC;St'Jh Su h <br /> <br />PARCEL I.D.~F O,;2-,~~-,?- /-f)()f{J- OCY/CJtJ- C)CJcr-O <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____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 />____~F 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 FO~lS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />AMP Service <br />o-z/ <br />;Z ?J ? 5-- <br /> <br />Florida Power Corp. <br /> <br />_H.R.E,C. <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 />::::::~~J companyFi~~~, C [",;, 2/ <br />State Cert. or Regist. ~FiC""e C> ~/ 7 <br /> <br />_: - -~- ~ - _ . _ ..*;.**..*.......*~;~~*;;;;~~;.~;~;~~~=~~~~ iI >1f-~ <br /> <br />PLlJMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANTGAI~S/,/ ~i! ~~:~:n~ert, <br /> <br />Signature /~ r .-6.- _. City License Registration <br />~// (****************************************** <br /> <br />L.___// <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 />PERMIT OFFICER. <br />