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<br />" ~PLtCAT10N FOR PERM1T <br />C1TY Op:ZEPHYRHILLS. <br />" . "BUILDING DEPARTMENT ... <br /> <br />~."r'h:; ~.' ~.1': <br />_! ..J.._ <br /> <br />JOB LOCATION <br /> <br />'~d-\~Q~'Lg~t.l'~~LU~~~ <br />l\Z,~ s, ~..~.~j,f\-~6*J. <br />ML O~PM OlNt-~ <br />b~S52 --:Pl~'Om~, ',2\\ <br />~ <br /> <br />. '~~ ;.-=-r ~r~ .: ".. <br /> <br />ADDRESS <br /> <br />P~~~:"""~/StC1.- .p~ <br /> <br />APPLICANT <br /> <br />'. <br /> <br />OWNER <br /> <br />~;. .~:.... <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />: t ~ ~ <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br /> <br />BLOClC <br /> <br />SUBDIVI~ION <br /> <br />PARCEL 1. D. 4. <br />WORK PROPOSED:_New Construction -Addition ~lteration -Repair _Ins.~all <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____Move ----Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/P <br /> <br />_~ of Units ,----H/H <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />____Swim., Pool Other <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 & {i) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pF.RMITS RF.otlF.STED <br /> <br />_BUILDING <br /> <br />$" \, '2.-40 .. CC> <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />X <br />/' <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 SECTION <br />Company <br />State Cert. or Regist. # <br />City License Regis~ration <br />****************************************** <br /> <br /> <br /> <br />: ~::::~.:: AN <br /> <br /> <br />/ <br />/ <br />/ <br /> <br />Company <br />State Cert. or R~gist. ~ <br />City License Registration <br />****************************************** <br /> <br /> <br />. Company / <br />, State Cert. or Resist. #;Y'/ <br />City License Registration # <br />****************************************** . <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br />. <br /> <br />DINER Z2}~<- <br /> <br />Signature ' ~-> <br />~ <br /> <br /> <br />Company ~.~~~ ~S~\').Gn~r-l <br />State Cert. or Regist. 4. ~ct...c;;:Q"t:<r-'-Hr~ <br />City License Registration # ~~ <br /> <br />****************************************** <br />, <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />