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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />\\('\-s Qo..rl--\U't. r.s~ f <br />Z h.:ll\ ~ PHONEiJ-13) '1 ~ ~- 81.\ q () <br />OWNER ~OW'N\l\~W \fv\J~J\Q.o..\. \\<'\.s ~o.f-\: ~ce(~ll f <br />JOB LOCATION.1J~\~-;Y"\iO:L ~~c\\~c..\. '\iC\s Q."\-. LOT SIZE <br /> <br />APPLICANT <br /> <br />l' OvJ\'U\l \ ~ L0 '{\.J't.d '\ ~o..\.. <br />~ ~~.s Ga.\.\. ~\ud. :t:r ~ <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />3 ~- :25- ~\ - 0000 -00300 - DO(j 0 <br /> <br />PARCEL I.D.4F <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 />~commercial <br />-,--Restaurant <br /> <br />____M/F <br /> <br />____~~ of Units <br /> <br />.~/H <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />& Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: 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 />~ECHANICAL <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 /> <br />SECTION ~ <br />Company ... o...~d.jj <br />State Cert. or Regist. <br />City License Registration <br />****************************************** <br /> <br />~ f. ~ <br />~\'\. .h. _-...JC. <br />Q.. 9-.e.Cl\ <=( ~ 3 <br />41 <br /> <br />Signat <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Silmature <br /> <br />Signature <br /> <br /> <br />Company ~ Cr...~ 6 W ~ ~~ <br />State Cert. or egist. # <br />City License Registration <br />* *************************** <br /> <br />\OLv-~\',~ <br />e. ~Q... CU y <br /># <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4~ <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 />~d - '. // />A1"vT <br /> <br />PERMIT OFFICER. <br />