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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />-~ <br />l1J01 Pauf <br />De~M()(t- <br />LQt01 fl:arL <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />F/3 '1~f~1qy::) <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT, <br /> <br />PARCEL I,D.4F <br /> <br />" <br />~ <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br /> <br />_Sign <br /> <br /> <br />_Ins tall <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign/Temp. <br /> <br />_Move <br /> <br />~De~olish <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />__M/H <br />I1/C =~tdr~er <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_# of Units <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~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ~,* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />BUILDING <br />~LECTRICAL <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida 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. 4F <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />1 /-" <br />::'::::::A~; c':~:5: <br /> <br />Company ~dc A:-r.u:J LK-H-tv,JhL <br />State Cert, or Regist. 4F <br />City License Registration # <br />****************************************** <br /> <br />kj t!:c7/< rc.A- L C€J AI Tte,f-e-?(;/( <br /> <br />62- 1/ () <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br />Signa ture !Je;JJ~~A.- r9l_~N <br /> <br />Company f?xj,;, PrO(lfPU- W <1 ~1?. /:1ne~ <br />State Cert. or Regist. # CAC04-~q4f <br />City License Registration # 11 <br />****************************************** <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 /> <br />