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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />SC\-\~9t(L Co~~~~ <br />\\~ S. ~5~ ~~C\'1 <br />:\C"~~\-~D~ <br />JOB LOCATION 3'0441 CR-.54- ~~~ .2\\ <br />I <br /> <br />PHONE <br /> <br />Sc:A)~1.-'6~~ <br /> <br />APPLICANT <br /> <br />ADDRESS <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.# <br />WORK PROPOSEO:~New construction ----Addition ----Alteration ----Repair ____Install <br />____Sign/Temp. ____Sign ____Move ____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~commercial <br /> <br />~/F <br /> <br />____i~ of Units <br /> <br />._M/H <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pRRMIT5 RROURSTED <br /> <br />~BUILDING <br />____ELECTRICAL <br /> <br />$.-JC, Gt(c ~C:$J <br />1 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.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 />SPEGIALTY <br /> <br />_#- . <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />Signature <br /> <br />r . . . _ . \ CONTRACTOR SECTION - .- . \ <br />\...At'\S~~~ Company ~a ~~ <br />. State Cert. or Regist. i~ ~ lOo3ZSZ4- <br />City License Registration ~~ " <br />*********************************** <br /> <br />APPLICATION A <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br /> <br /> <br />:::::~,::AN <br /> <br />// <br />./ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br />Signature <br /> <br />****************************************** <br />