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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />~ \ ~G..\.. '{\,\- Qo.{ t\\J~( <br />(")c...\.\.. ~\~c\:\t.=L 2"'\\\~ PHONE <br />OWNER ~6\..U N\.l" t.lt.J ~tc\\ Q..G..\.. '(\f\~ 'QC:.li \ ~ tV S'^-\ \f <br />JOB LOCATION :s~~\~ -::/\8D1J-. ~\~\. 'Aft tt,LOT SIZE X <br /> <br /> <br />'1 r3-&'~1 <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />d ~ - ~S- ~ l-oCl C cJ -DOJo() -000 t) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4F <br />WORK PROPOSED:~New Construction <br />_Sign/Temp. <br /> <br />~ddition <br /> <br />~lteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />+commercial <br /> <br />_M/F <br /> <br />_tF of Uni ts <br /> <br />.----YI/ H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />~estaurant & 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 REQUlRED. <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 />----YlECHANICAL <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 />CONIllA= ~~CTION ~ d ~ (' <:+ <br />Company \\J U. \..-0 ' - ~. <br />State Cert. or RegistJ ~C OlCCf,v <br />'ty License Registration # <br />****************************************** <br /> <br />Signatu <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />SilZIlature <br /> <br />Company ~~O~f~ ~ t~~i ~ <br />State Cert. or egist. # f DC,., V <br />City License Registration # <br />* ******************************* <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4F <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 />:A'tA&\f . ;AAl"'vtY <br /> <br />PERMIT OFFICER. <br />