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<br />~~~~...,..Q~~IfU" [ fT..... -- ~'-~-:-~ <br /> <br />- <br /> <br />----...--,._------~~,.. <br /> <br />. <br /> <br /> <br />&\-\~~~ ~S\iL~~~N <br />, \ 2-~ S - ~i ~, :-VAfi"- c~ <br />'3~ ~~Q \-\ \L\l~ "'~ <br />S3>'2Z.. 2~~ 5~ '2~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER . <br /> <br />JOB LOCATION <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE <br /> <br />~i=)tJl-~~0 <br /> <br />'. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL 1. D. if <br />WORK PROPOSED:____New Construction ____Addition~Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br />_Commercial <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />'COM1iitRCIAL <br /> <br />,!. . <br /> <br />____BV,ILDING .. <br />~ELECTRICAL <br /> <br />__MECHAN".l:yAL <br /> <br />_PLUMBING <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_t~ of Uni ts <br /> <br />._M/H <br /> <br />~Indust~.~Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department approval <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <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 />$ ,:.~ 1+46 .~s <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 />GAS <br /> <br />ROOFING <br /> <br />SPEQIALTY <br /> <br />.lXf~9f CONSTRUCTION: <br /> <br />_Block <br />'. ..; I," <br /> <br />_F~ame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />****************************************** <br /> <br />, i C6NrR~~~:n~ECTTO~",*V_ c9<",~,,,:, <br /> <br />. StateCert: or Regist. !F {l.: .:;ZS"2A- <br />City ~icense R~gj.sr-r-ation t~ ~l <br />. . * * * * * *:,.** *** ** ** *~: :rd: * *"'* * * * ~d,~: -{:'i, ,':1, * * <br /> <br />~ig'fw.t~re <br /> <br />L~ I .' <br /> <br />::::::::AN <br /> <br />Sigp.~tl.r!:'~ . <br /> <br />Signature <br /> <br />OTHER <br /> <br />SiFnature <br /> <br />/ <br />/ <br />/ <br /> <br />Company <br />Stat~Cert. or Regist. 4~ <br /> <br />City License Registration <br />* ***** ********* * ** ******* ** *'" ** *-1,*-1, * *-1:* * * * <br /> <br /> <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registrati <br />*************************************** <br /> <br />. Company <br />State Cert. or Regist. # <br />City License Registrati <br />************************************** ** <br /> <br />/ <br />/ <br />/ <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City 't,'icense Registrat. n <br /> <br />**********************~************~~***** <br /> <br />PERMITOFFIGER. <br /> <br />'APPLICATION APPROVED BY <br />