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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />M, \ ~n;' <br /> <br />Cn\i\ <'-\YI 1 ( ~ .;) Y\. \ Vl'- <br />. <br /> <br />~j) \ J :D~cl-e (\ iu ' FL 33525" PHONE <br />( , <br /> <br />Me (AbC <br /> <br />'1U41~7- ttD4, <br /> <br />ADDRESS 15~1' l J . <., <br />OWNER ,\)Wl\ ~ V\~_I R\ \ \\ " <br />JOB LOCATION 50..,>+ - I~~lrl ~ty,,'t't- <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUbDIVISION <br /> <br />PARCEL I.D.~; <br /> <br />1\ .?&.' 2...\. DO 10' L'S()l). Dl))ir\) <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration <br /> <br />!:~ - U-- <br />~epair ____Install <br /> <br />____Sign/Temp. <br /> <br />____S 19n <br /> <br />_Move <br /> <br />-Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />--.-HI F <br /> <br />____4; of Uni ts <br /> <br />.-.-M/H <br /> <br />-Acommercial <br /> <br />____Indus t . <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 FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />2S.-BUILDING <br /> <br />$ Z I :1 10 IOU <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 />---HECHANICAL <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 />Silltlature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />Sta~e Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />Comp"ny -.n1d"Kar (~~(,;tr'Afh()Y\1 \\I\L. <br />State Cert. or Regist. # K( I)OSSUS' <br />City License Registration # ~~ <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />