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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />Paul SQhapeh COn6tnuetion ComDany <br /> <br />11250 South f(wy 98, Vad(J eJ.:ty. Ft <br /> <br />Joe. MQC.tun <br /> <br />PHONE <br /> <br />C,r-,7-fiC,fW <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION 38416 5.th AIIP 7prh1jfthiPPJ., FI <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. iF <br /> <br />/I-~' - 2-1 - ODID - 1~7DO ... D2...17 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ____Single Family ____M/F ____# of Units ____M/H <br /> ____Commercial ____Indust. ____Swim. Pool OthH <br /> <br />r <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 FOR.l1S, of,,': <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 />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />" <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_\\l.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 <br /> <br />____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 />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />Signature <br /> <br />PLUMRER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************~*********~*ff****** . <br /> <br />Signature <br /> <br />).. . C" .. <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />~paul SQ~i/M/A ~~:~:n~ert~(f~~ ~:;~~~~ .~o~a~~goc,l~~ <br />r,,:;vT --- City License Registration if J? <br />.*...*~........................**........* <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />