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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />BaJ1r6 f(op~ne &s ~ Alc.,' :me. <br />t1~41 Allen RcL <br />JeYr~ Bo~ t ' , <br />JOB LOCATION 6417 g-M 5t <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />19~-6a/3 <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. ~t <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Install <br /> ____Sign/Temp. _Sign _Move ____Demolish <br />PROPOSED USE: vi Single Family _M/F _~t of Units ,_M/H <br /> _Commercial _Indust. ____Swim. Pool 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 />PERMITS REOUESTED <br /> <br />_BUILDING <br />~ELECTRICAL <br />LMECHANICAL <br /> <br />$ ~~a:~~:ion of Total Construction <br />JOO ~viU~~ida Power Corp. <br /> <br />_W.R.E.C. <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 <br />Company <br />State Cert. or Regist. it <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::::::::~~ ~ <br /> <br />~ompanY C"4- 1-1- :r o.q J .,., ,0../ <br /> <br />tate Cert. or Regis t.!fr ~ <br />City License Registration lfr c 'Cjy;- <br />~ ...................................., <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company J3ahr S frbVtU16 Gt-s ~ AIc~ :me. <br />1\.9 f\ II'A ~ M..A A_. , State Cert. or Regi'st. # CACCJ43 ~E <br />~~~ I~~ City License Registration # 11 <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />