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<br />APPLXCAT10N FOR PERMIT <br />CITY OF'ZEPHYRHILLS <br />BUILD-ING DEPARTMENT " <br /> <br />"\ <br /> <br />". ~'~',T; :~_:.,s):.~J'.. .:j ~: <br /> <br />APPLICANT SC)\'Mbt-.(jcN:~~~~A.." <br />ADDRESS ~ \"2-S(J S ~. ~~~ -6;~ I k- <br />~\\\h-~O ""J)M~LS . ' <br />5l~S (9~ ,3t <br /> <br />'- .~.; :'-., .:;., <br /> <br />PJ}m'E~+/;:s<n ~ :-~Q <br /> <br />OWNER <br /> <br />..... <br /> <br />JOB LOCATION <br /> <br />2l\ <br /> <br />-_', .r' ", "-,-:-';:-.::_::' ;'__ <br /> <br />.LOT SIZE <br /> <br />x <br /> <br />--, <br />AREA SQ. FT. <br /> <br />f r:: <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION' <br />. ,. . ,', .... .,' ......... <br /> <br />PARCEL I.D.4~ <br /> <br />WORK PROPOSED:____New Construction -Addition -^lteration -Repair <br /> ____Sign/Temp. _Sign _Move <br />PROPOSED USE: ~Single Family ---'l/F _4~ of Units <br /> ____Commercial ~Indust. _Swim. . Pool <br /> <br />_Install <br /> <br />-Demolish <br /> <br />, .--M/H <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.& {I) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RM1TS RF.OUF.STED <br /> <br />____BUILDING <br /> <br />$' <br /> <br />2. ~"20.~ <br />l <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />. <br />____PLUMBING <br /> <br />."" . <br /> <br />GAS <br /> <br />")<... ROOFING <br /> <br />SPEC<IALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Regis~ration <br />****************************************** <br /> <br /> <br />:::::::::AN <br /> <br />/ <br />/ <br />./ <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registratio <br />**************************************** <br /> <br />/ <br /> <br /> <br />/. <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Resist. # <br />City License Registrati <br />*************************************** ** <br /> <br /> <br />Signat~re <br /> <br />Company <br />State Cert. or Regist. <br />City License Registra <br />************************************* <br /> <br /> <br />Signature <br /> <br />Company ~~~,~ <br />State Cert. or Regist. 1~ ~_co~~ <br />City License Registration # <br /> <br />****************************************** <br />'. <br /> <br />APPLICATION APPROVED BY <br /> <br />. .. <br /> <br />PERMIT OFFICER. <br />