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<br />q'1 rfl <br /><;)- q ),' <br />APPLICANT d ~ 4~/I/< 0/ ~'r-~ <br />ADDRESS .3 fo S- 3:? ;J V1 j <br />OWNER /~ s:.R.~ ~ <br />, <br /> <br />JOB LOCATION. ~ ~~:1 J... ~ /4~ _ <br />LEGAL DESCRIPTION: LOT (S) / ( () <br />. <br /> <br />PARCELI.D.# //-~0-.l I-(JO'/o -=/'?Yi:JC)-C5//L) <br />,- . <br /> <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />qu..-P- <br /> <br />PHONE <br /> <br />7P-:1. -5YY~ <br /> <br />~...t ' " <br />LOT SIZ~x.r::-a AREA SQ.FT~/?(!.7CfC! <br /> <br />BLOCK <br /> <br />SUBDIVISION <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 Uni ts <br /> <br />,____M/ H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />BUILDING SIZE: <br /> <br />____Restaurant & Health Department Approval <br /> <br />j.?; ~~;' ~'~...square Feet, ~~ ~~ <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FO~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />/ <br />~ Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ENERGY FORMS.** <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 />_H.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 />I~~~~*******************************~** <br />) / /J /, CONTRACTOR SECTION / 1 J <br />. ~ ~~ ~ Company ~ <br />State Cert. or Regist. # <br />Signature City License Registration <br />************************************* <br /> <br /> <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAl <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />DATE <br />CUIlOIN6 DEPT APPROVED <br /> <br />