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<br />.... <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ (1) l' <br />ADDRESS "] q J. 41 <br /> <br />d- (-:- ? rt7 / LI J 'r7 C <br />(,-111 IJt/c <br /> <br />c.- t' ~:~/ c <," <br /> <br />PHONe <br /> <br />OWNER <br /> <br />.s~( J II r <br />c:' <br />7 Cl /1'/ -t , <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. 4t 11-- 2 t: -- 2/ - e7fti j (7 - (7) :3 :2(1} tJ - (?')/!;J (J <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____S ign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Uni ts .. <br /> <br />,____M / H <br /> <br />4commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />. <br />BUILDING SIZE: <br /> <br />;. <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 /> <br />$ <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 />I <br />_MECHANICAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />/' ROOFING SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />BUILDER <br />Signatur~ <br /> <br />CONTAACTOR ~. S, -- L I<.otr-ft. <br />Company reM.lf I ltNtC.Oa:YT ~ <br />~ State Cert, or Regist. # 1<c.~ ti-51 <br />~ City License Registration # ~ <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />CQmpany <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />< .~ <br /> <br />PLUMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist.# <br />City License Registration # <br />*********************~******************** <br /> <br />f, <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />