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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~-k.u~l.e~h.ood <br /> <br />ADDRESS ~~ _od.!)uJOO~ <br /> <br />OWNER ~ <br />JOB LOCATION 3cr S3 CJ ~woool <br /> <br />.~ ' J:t/th <br /> <br />PHONE <br /> <br />IS 3 J/t./lJ <br /> <br />LOT SIZE_X- AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. 4F \3 -cJ.lD . ~ I - CO 140 ~ 00000 - 0/.30 ;;i <br />;).8 ~ M' 1"\.0 \orj <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repa~r ____Install <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 />____IF of Units <br /> <br />.____1'1/ H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />t <br /> <br />____Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x <br /> <br />Square Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORI1S. '''' <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS, H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />a o{)L/;tU\ <br />____BUI~I~ <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />'i)"b <br />~, lo to S. Valuation of Total Construction <br /> <br />____ELECTRICAL <br />;;f <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 />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 />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />COO1p~n.y <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, 0 <br />City License Registration # <br />****************************************** <br /> <br />Company .0 ~hOPiA ~~ <br />State Cert. or Reg~st.' IF C. . <tJ <br />City License Registration # 4-,;}... <br /> <br />MECHANICAL <br /> <br />. Signa ture <br /> <br />Signature <br /> <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />