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<br />_U_'B__r-...MI.'...d' '~ V-....... <br /> <br />OWNER <br /> <br />,3725;) <br />Fe rnc- <br />l'73'X L) / 9 <br /> <br /> <br />APPLICA~ION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />t <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br /> <br />APPLICANT <br /> <br />JOB LOCATION <br /> <br />s+-. <br /> <br />LJr- .~ ~ <br />LOT SIZE~X D~ <br /> <br />AREA SQ,FT, <br /> <br />9(0 t/ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED: <br /> <br /> <br />____Addition ____Alteration ____Repair ____Install <br /> <br />PARCEL I. D. 4F <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />_____MI H <br />,,5c 'f(!e~ -Rm~ <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____4F of Units <br /> <br />BUILDING SIZE: <br />,-~~'_.~ .~ <br />~ESIDENTI~ ATTACH <br />CoMMERcIAL: ATTACH <br />**COPY <br /> <br />____Restaurant & Health Department Approval <br /> <br />9& <br /> <br />D <br /> <br />x I;); <br /> <br />Square Feet, <br /> <br />() i 71 <br /> <br />Height <br /> <br />(2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,** <br />(3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />OF CONTRACT REQUIRED, <br /> <br />$ <br /> <br />) (0 75~ <br /> <br />( <br /> <br />PERMTTS REOUESTED <br /> <br />~LDING <br /> <br />Valuation of Total Construction <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 /> <br />Signature <br /> <br />CONTRACTOR SECTION I <br />~ Gompany I <br />~ State Cert. or Regist. II <br />~ . ~ . City License Registration <br />*********************************-****-*** <br /> <br />BUILDER <br /> <br />Sillnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRTCIAN <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />