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<br />AFPLtCATI0N FOR PERMIT <br />. , .CITY OF ZEPHYRHILLS <br />BUILDtNG DEPARTMENT <br /> <br />.'- ; <br />-.. ....,--".' <br />'.~ ,'r::/;,.~j:',.. j r . <br /> <br />ADDRESS <br /> <br />Sc)\~*-~ c.o~~~~~~" <br />I\"Z-~ S. ~i.""jt>).;~~~D1!~:~/5lQ'l-: ~. <br />~\4 R~~~\S <br />3~'1z..\ 9~ ~~. z\i <br /> <br />'- ._''''': "-" n,". <br /> <br />APPLICANT <br /> <br />" <br /> <br />OWNER <br /> <br />._~. --. - - <br />: ;.' ~': '..- <br /> <br />AREA SQ. FT~- - ..--- ". <br /> <br />LOT SIZE <br /> <br />x <br /> <br />JOB LOCATION <br /> <br />. ',~ ;: ~ <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCIC ' <br /> <br />SUBDIVISION <br />. ' , <br /> <br />PARCEL 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ~ddition ~lteration -Repair _Install <br /> -..,. ': <br /> . . ~ <br /> ____Sign/Temp. ____Sign ____Move -DelDolish <br />PROPOSED USE: ____Single Family ..-JII F _~~ of Units ' .---n/H <br /> ____Commercial ~Indust.:. _Swim. , Pool Other <br /> <br />\\- 2k-2.\-~\~- O<e:.~--~~- <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <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 />pF.RMTTS RF.OllF.STED <br /> <br />____BUILDING <br /> <br />$' ~ , ::>4(:) . ~ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />~ ROOFING <br /> <br />SPE((IALTY <br /> <br />. <br />____PLUMBING <br /> <br />.#' . <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />~ONTRACTOR ~ECTTON <br />Company <br />State Cert. or Regist. # <br />City License Regis~ration <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. <br />City License Registra 10n ~~ <br />************************************ **** <br /> <br /> <br /> <br />:~::::~:: AN <br /> <br />/ <br />/ <br />/ <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registratia <br />*************************************** * <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registrati <br />************************************** ** <br /> <br /> <br />Signat~re <br /> <br />Signature <br /> <br />Company S~~t... -('"' ~~~~~~ <br />State Cert. or Regist. 4~ ~ccSt.1(d~ <br />City License Registration # ~ <br /> <br />****************************************** <br />" <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />