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<br />p- /755 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~1\Y\(i.' L. IY\1 \ inn /JYh l ~a-<"- C 1\i\S-t rIAL h 0\'\ \ Y'I c.. <br />ADDRESS \5~\\ ll~" ~O\, 1~d~ C\"~"Y\. ?1?JSLS PHONE <br />OWNER JuIA Yl \Al. Kr [\'/ ' ~r <br />JOB LOCATION ?)~?\:1 - [;)J.lt\ AWY\u>12 12-~'I\\S LOT SIZE X <br /> <br />~U4)51In. (/)041 <br />, <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />I7-L~' ? \ . lJ02:Ju - OD\OO" ("')\9,0 <br /> <br />ICe - I<-ou~ <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ____~r ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />____S ign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />____4F of Units <br /> <br />_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 />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 />PF.RMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$ p341.7b <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 />BUILDER <br /> <br />Signature <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMRER <br /> <br />Signature <br /> <br />Company <br />Sta~s Cart. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />Company IY\:, \ ffi (" (\'Il'i-\rlAclrl ~ V\ " \vt <-. <br />State Cert. or Regist. 4F ~C ()()C]c)'2-IC;- <br />City License Registration # 31 <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />