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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT I/~/ au.n 1,'';'7 !/ll.Un/nuWl <br /> <br />ADDREss00.5l; Golf Blur} Z~Jr-h:lls r~ 33.5"Y/ <br />/ <br />OWNER f'r p )) of fos. e ti1,n I' y II / It: It.- <br /> <br />JOB LOCATION h.J} 7 s,'J lip, "'a,k"s {)I( l~~; J}S <br />II I <br /> <br />PHONE <br /> <br />?tf;J.~S9':Y(; <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />LOT SIZE (t:> X )~cJAREA SQ.FT. <br />SUBDIVISION S // tie r Oa.l<.s <br /> <br />PARCEL I.D.# <br />WORK PROPOSED: ~ew Construction ____Addition <br /> <br />____Alteration <br /> <br />_Repair <br /> <br />_Ins tall <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />____M/F <br /> <br />_# 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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~ILDING <br /> <br />$ ~7/7. ~O <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 />Signatur <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <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 />APPLICATION APPROVED BY <br /> <br />*~*******~*************************** <br />dA~ ...J. i\ ,t'\.r <br /> <br />PERMIT OFFICER. <br />