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<br />'. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT _yY\1 \R~1f' lnl1"tyllrtiiw\ \ It\c <br />, <br /> <br />ADDRESS <br /> <br />\S~\ \ <br /> <br />II, ~, 30\ I <br />~~IWI\Al\ \ \-\-. <br /> <br />1>~rlL ( \ ~f <br /> <br />k D~S7~ <br />. <br /> <br />PHONE <br /> <br />~1041 rdil' lnM-l <br /> <br />OWNER <br /> <br />LnnA) <br /> <br />JOB LOCATION S&4EiJ t;LD41 <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />L{),"^ S-\Yh~+ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUL.lDIVISION <br /> <br />PARCEL I.D.~t <br /> <br />1\'7(0" 2.\ .. OO\D~ \\()nf). iTI\\ <br /> <br />~CL'~ <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~ ____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~~~ Family <br /> <br />_Sign <br /> <br />____Move <br /> <br />---Demolish <br /> <br />--'1/ F <br /> <br />____~, of Units <br /> <br />.--H/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 Fee t , <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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-l:-BUILDING <br /> <br />$ 'Z,IoOO,uD <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 />-KECHANICAL <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />Comp~lny \\\1 \YRr Cl\IA.'>l11uhnv\ I \V\c.. <br />State Cert. or Regist. # RL ~---- <br />City License Registration # ~ <br /> <br />.......................................... ;2) <br />PERMIT OFFICER. <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br />