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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br /> <br />PHONE <br /> <br />/ -'j'"/-./ <br /> <br />;; s> z - C .YeJ Y <br /> <br />APPLICANT <br /> <br />Lf7 <br /> <br />OWNER <br />. {T / <br />JOB LOCATION L,[. f..1'ljIv'LIJf/ cr/v{ (-/..1r/'V.. y (/..'I.JL LOT SIZE <br /> <br />- <br />')!J <br /> <br />M Ii <br /> <br />BLOCK <br /> <br />X AREA SQ. FT. <br />SUBDIVISION'Lv'Y {'/'~T'A"~ ;r!chr/e iliml'" lor!:::... <br />-~ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I. D. i~ <br /> <br />WORK PROPOSED:_New Construction ____Addition _Alteration _Repair ~Install <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />____Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_t~ of Uni ts <br /> <br />, .-4-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 Fee t, <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 />PF.RMITS REQUESTED <br /> <br />_BUILDING <br />~'// ELECTRICAL <br /> <br />~MECHANICAL <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />AMP Service <br />./' L.,' c;> '-). ,) <br />J .J /..) f- <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 _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. n <br />City License Registration ff <br />****************************************** <br /> <br />nUILDER <br /> <br />::::~~~~/ Company &P kM};~f"t0)~ \ <br />State Cert. or Regis . t~ .~ (0 - <br />'=... ',VI r , .' i@-2- City License Registration" <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Eegist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />OTHER <br /> <br /> <br />Company -Ace \(f'Q~9JEJ f~~0() Irk <br />State Cert. or Regist. iF cACnZ-.L,C\"1 ~6 <br />City License Registration iF ~3 <br />********************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration 0 <br /> <br />****************************************** <br /> <br />PERMIT OfFICER. <br /> <br />APPLICATION APPROVED BY <br />