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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />h 0 L., s -r~C 6:>~~ oJ.-( <br />GLADEs ~C5- <br />OWNER ~ATY'\ VeL t)CS~TO <br />JOB LOCATION Ze-?~(L (+iLLS ''fL., <br />LEGAL DESCRIPTION: LOT(S)~~~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />s-r7LJJo <br /> <br />PHONE 7!?2. - q.5::t \{ '2 <br />(31/57 Fox (luJ .~ <br />LOT SIZrl7.b' X I bB AREA SQ. FT. fD;~( A<?fI~ <br />SUBDIVISION 51LvF:a o/l-V....S <br /> <br />BLOCK <br /> <br />PARCEL I.D.~~ <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____S ign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />.-M/F <br /> <br />____t~ of Uni ts <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 />BlJ,ILDING SIZE: 5J~i' X Ltf.o , <br /> <br />/FPtC;- <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 />~BUILDING <br />l(..ELECTRICAL <br />~MECHANICAL <br />~PLUMBING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />6~ OCO. c.c Valuation of Total Construction <br />ZOO AMP Service X. Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />?rYXJ. Dt <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block ____Frame ____Steel <br />FINISHED FLOOR ELEVATIONS:~'~FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR SECTION~ ~ <br />Company . c. 'TEVe:. <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Co!J5~1QJ <br />/xYJ <br /> <br />ELECTRICIAN <br />Signatur~~ <br /> <br />Company 'Z-\..l\u...~ ~L~'\. ~a(\..v. <br />~~ State Cert. or Regist. # c..>o~.J...( ("'iP <br />City License Registration # tn <br />**************************************** <br /> <br />PLUMBER <br /> <br />Company ,S <br />~~ .2 M State Cert. or Regist. # <br />C . City License Registration <br />*********************~******************** <br /> <br /> <br />Signature <br /> <br />MECHANICAL Company gAfI~ ~ /A!e?~~.v t... 6~.s e'#A: J-;vfC. <br />-'J/ __ / ..# ../ State Cert. or Regis.t. # C-4C.CY.:7"/8 <br />~ -=~ P ...........'--= City License Registration 4~ ~ <br />~ ****************************************** <br /> <br />APPLICATIO~. ~nVED BY <br /> <br /> <br />" <br /> <br />Company <br />Stat~ Cert. or Regist. # <br />City License Registration # <br /> <br />PERMIT OFFICER. <br />