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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ l.f M A,() CO (\j~.\-tC-1.A.C.A-6o tD :r 1\)<L- <br />ADDRESS 3 -, -~~6 5 . e ' 54:- "'" \C"'~+ <br />1V\l!;~~(O(\..\.A<<-L( C v, ~~J\ <br />" <br />JOB LOCATION 56~ \. - c;).~j(3. ~- <br /> <br />PHONE ~ \s -782" 682-b' <br /> <br />OWNER <br /> <br />~~ b\~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br />PARCEL LD.!,' \0 -- 21.0 - 2.... \ ~OC)Z-S -()C:J40 <br /> <br />SUBDIVISION <br />00000 <br /> <br />____Alteration _~Repair <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolisll <br /> <br />____M/F <br /> <br />____IF of Units <br /> <br />_____M / H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />'1 <br />T <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 />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S."" <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />~~DOce-- <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\\l.R.E.C. <br /> <br />..f <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br />'x' Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />.- <br />"'cC <br />FINISHED FLOOR ELEVATIONS: (5 ,,) FT. <br /> <br />****************************************** <br /> <br />OJ _ CONTRACTOR SECTION <br />BlJILDER\\l[""""P',,0 @c>~.s-C ~ v0 .- Company QI..{VV\r>-,v C<:.~s~- -S r'-1 c:., . <br />~~~ State Cert. or Regist. iF eBC-O~S\~4-- <br />Signature""'"'"~ ~ City License Registration if 8S <br />****************************************** <br /> <br />SiQ'nature <br /> <br />~1:t- /n~~ <br /> <br />Company 'in QA.~ e.J29-(Ii1L- <br />State Cert. or Regis t. iF ~U)dt, \0 <br />City License Regis tration 1F \ ~~B- <br />., <br />****************************************** <br /> <br />ET.ECTRTCTAN <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 1F <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 />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />"'_-"""""".-.~..".~...':'Yl..... "" <br />