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<br />APPLlrANT~~~~~~ .... <br />ADDRESS \ \ Z-'5:J s. ~'t ~ ~~ ~~ <br />OWNER ~ t\t\\ t-...\Q&\C~ <br />JOB LOCATION ~~20 ~~ J~..'\~. ::zl.\. LOT SIZE <br />1 . <br /> <br />AFPLXCAT10N FOR PERH1T <br />CITY OP' ZEPHYRHILLS <br />BUILDl~G DEPARTMENT .' <br /> <br />~ - , <br />-. ,:J <br /> <br />". ...., .~" ..... <br /> <br />PJ!OI1R~} Slc;~~~ <br /> <br />X AREA SQ. FT. <br /> <br />BLO.CK . <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />PARCEL 1. D. tt <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install <br /> <br />____Sign <br /> <br />____Move ----Demolish <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Sing1e Family <br /> <br />BUILDING SIZE: <br /> <br />----'I I F <br /> <br />____# of Units .~/H <br /> <br />____Commercial <br /> <br />~Indust:. <br /> <br />____Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />_ELECTRICAL <br /> <br />_MECHANICAL <br /> <br />_PLUMBING <br /> <br />PF.RMITS RF.OIIESTED <br /> <br />$' \,4-'"10..00 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.#' . <br /> <br />~ ROOFING <br /> <br />SPE<<IALTY <br /> <br />GAS <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />OTHER ~\N~ <br />Signature 0,,!c~\__ <br /> <br /> <br />Signature <br /> <br />:::::~:AN. <br /> <br />PLtrMRF.R <br /> <br />Signat\,lre <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Regis~ration <br />****************************************** <br /> <br />/ <br />/ <br />~t /r <br />/ <br /> <br /> <br />/ <br />/ <br />// <br />/ <br /> <br />./ <br /> <br />/ <br />/- <br /> <br />" <br /> <br />Company ~ <br />State Cert. or R~gist. ~t ./ <br />City License Registratio~ <br />****************************************** . <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />/ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registratio <br />*************************************** * <br /> <br /> <br />Company ~('~~l.::l.~ <br />State Cert. or Regist. 1t ~C:;:C~"{n3 <br />City License Registration # ~~ <br /> <br />****************************************** <br />~ <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />