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<br />.7 <br /> <br />.. <br /> <br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />_u'ANT -.)(lncllJ DevcdDenlfrll 00,) III ( . <br />ADDRESS I J. 103 ll.S <br />OWNER Lllk. '0 Ull ~Tfu <br />JOB LOCATION 3'J70( ,- 377 II <br /> <br /> <br />PHONE q(y./'.)67- 79YJ- <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 1. D. # <br />WORK PROPOSED:LNew Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />---1-M/F <br /> <br />~# of Units <br /> <br />._N/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />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 FORNS.** <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 />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />-lL-MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />-LPLUMBING <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 /> <br />I (Ie <br /> <br />- "',. <br /> <br />Signatur <br /> <br />City License Registration <br />****************************************** <br /> <br />::~ Company ~Io, 'j;"U\ [ledric (""\g;n~.!; ~ <br />~~ ~ State Cert. r Regist. II ceo ~g ~. EI <br />.-. - City License Registration # :lR-Lf <br />.~~~ ..it-*-*-~ * * *** ** **** * * * * * ,\-* ,\-1, * 1, * * * 1, *.., oj, <br /> <br /> <br />.---.....-.... <br /> <br />Registration ,----..... 9'/ <br /> <br /> <br />~ <br /> <br />Signa <br /> <br />--- State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />- <br /> <br />11- <br /> <br />i::=--. <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration iF <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt-lIT OFFICER. <br />