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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~~QeD- Co~~~",,~~ <br />ADDRESS ~\2SD 5 "-..Not ~ 1~ C~'1 <br />OWNER K<C..\>(>~R. <br />JOB LOCATION 5<03:) 'd:::)~ ST . -z..~ <br />, <br /> <br />PHONE <br /> <br />:Sl~"-l-~~~. <br /> <br />'. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.t~ <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />____sign/Temp. ____Sign ____Move ____Demolish <br />PROPOSED USE: ~Single Family ---11/F ____t~ of Units . _M/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 />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOro-IS. *i< <br />**COPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Fee t I <br /> <br />Height <br /> <br />pERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$_' \ ICJ ~ CC> <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />>< ROOFING <br /> <br />SPEQIALTY <br /> <br />__MECHANICAL <br /> <br />$ <br /> <br />.... . <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />BUILDER <br />Signature / / <br />:: ::::~,:: Atl / / <br /> / <br />PLUMBER / / <br />Signature , <br />MECHANICAL / / <br />Signature , <br /> <br />****************************************** <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. i~_ <br />City License Registration # <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. i~____ <br />City License Registration # <br />****************************************** <br /> <br />OTHER ~Q;>~\~ <br />Signature ~( o::\.~ <br /> <br />Company ~(la ~.~~ <br />State Cert. or Regist. # ~~ ~n"'<O::' <br />City License Registration i~ .4.'2.. <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />