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<br />... <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br /> <br />t.)\\\ \0 ~ \ Q.c...\.. \\r\- <br />ADDRESS ~~~ (jc...\.\... ~\~d:tt~ 2~\\\~ PHON <br />OWNER 't-6~ N~" t.\.U 'fv0't.d\ ~G\. '(\,\~ 'Q<:tl' \- W 't i S~~ V <br />JOB LOCATION :s'\~~ -::{\8D1.. ~..~\ "V\tT tt,LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.t~ ~~-~S-~I-O(JOD -DOJO() -oOot) <br /> <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ----Repair ____Install <br />____Sign/Temp. ____Sign ----Hove ____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />...)L.commercial <br /> <br />--.M/F <br /> <br />____t~ of Units <br /> <br />.--.M/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 />--.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 ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION 0 d ~ ('1 C+ 10 V\ <br />Company ~~ ~ ~u , \.....0 ' - ,"",,' <br />State Cert. or Regist~ C Ci lOct:U <br />ty License Registration # <br />****************************************** <br /> <br />Signatu <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sillnature <br /> <br /> <br /> <br />******* <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER . Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br />\ t, ': ~i! i l' tt, 'f t . .1, 'J <br /> <br />-: .'....( <br /> <br />., <br /> <br />.\'d~ <br />: .", :. :~. <br />l' .... <br />;~ '.' 'i. <br /> <br />I , t ~''".;,;. II c,' - q <br /> <br />I.. <br /> <br />", <br /> <br />'I'" ... ~1Ij u. ~ :. / ,'," <br />