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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />APPLICANT --.lJPt rr~HE& E ilis <br />Sll/fit! <br />fYJ I TC...t!€U ELLI S <br /> <br />393~1 <br /> <br />fNI/{~WMEAJ,AL GJ)KJ'ttA<0:0~ S <br />PHONE /B~ ~ JL/3/ <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL 1.-D.# /~ '-d0-d/ - OO?/O .- 00100 .- O/IoD <br />, . <br /> <br />WORK PROPOSED:____New Construction -^ddition ~lteration ____Repair ____Install <br /> ____Sign/Temp. _Sign _Move ____Demolish <br />PROPOSED USE: ____Single Family ____M/F ____~~ of Uni ts __M/H <br /> ____Commercial _Indust. _Swim. Pool 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 />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 />_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 />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. # <br />City License Registration # <br />****************************************** <br /> <br />BUII.DER <br /> <br />Signature <br /> <br />:::::a -:;~ Company 'iJJ~mfHIJ S~WF !ftIf-~ <br />, '. State Cert. or R~gi5t. . # (1,' 00 <br />L City License Reg1strat1on # <br />, -. .......................................... " <br /> <br />PLUMBER <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />J Compsny /3915/fuAJtJ2r'PJi:o _~ <br />State Cert. or Regist. # ~ <br />City License Registration # $/'1 <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />... <br />