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<br />APPLICATION FOR PERt-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT J '/ 1/J1C1 ,,A/ <br /> <br />CClnS)--. <br /> <br />ADDRESS 3/ J J., 5. R ,~ II <br />OWNER ~. Y}} ()O;/ / .5 <br />JOB LOCATION 313 705) C fiJlI'/,tJn1 <br /> <br />l,V <br /> <br />PHONE <br /> <br />'7 'is :J-/~) q~ <br /> <br />0/. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION /I L f /-la <br /> <br />l/ ,/ J ;.. Q"; L <br />. , -' <br /> <br />PARCEL 1. D. IF <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp, _Sign _Move _Demolisll <br />PROPOSED USE: ~Single Family _M/F _# of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />1. <br />J <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x <br /> <br />Square Fee t . <br /> <br />Heigllf <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 />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />JJ27:oo <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />..., <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_h'.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />X' <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 />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />F.T.F.CTRTCTAN <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />**********************ft******************* <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />R ()f) F / rJ.-7 <br />/' <br /> <br />jv/l {J ~A~__ <br /> <br />Company f? 1 nl(/.,1/ C CJ (/) ;. I- <br />State Cert, or Regist, # <br />City License Registration # 5~ <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERNIT OFFICER. <br />