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<br />~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />F f? A-f-I /< r 4(/ L <br />, ;:t:I- <br />ADDRESS 1 t') T S- ":L s L,"e.-!-p\ Hr) L LeJ W ( <br />OWNER S AMc?.. <br />ti- <br />JOB LOCATION ~<;. J e... -e P'1 II C) LLo W <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7 k-:)...- /::2.)';- <br /> <br />l <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br /> <br />V;:stall <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____4F 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 />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />95~.Od <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 <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Bl:TLDER ~Je~ <br /> <br />S1gnatur . <br /> <br />r3 t) L\ h . <br />~LA./J-. < <br /> <br />CONTRACTOR SEC~~ ( ;I <br />Company .e R \' fit /-I <br />State Cert. or Regisi, iF <br />City License Registration <br />****************************************** <br /> <br />At-CI M. .5e~dfC-e. <br />P?..X 0 (') ')<.f ~ 1<-( , <br />iF ~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration if <br />****************************************** <br /> <br />PLtJMRFR <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration if <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />" <br /> <br />.,. <br /> <br />". ,.t <br />