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<br />APPLICATION POR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ____JYy\ LR~(" ~DIiI"tyll(t--j'DY\ j \ V\( <br />ADDRESS 1591\ lJ.t.,./iDI. 1>10( (:~J J ~L <br />, I <br /> <br />OWNER LJ~()(\. ~V\\A -a\ \t <br />I <br />JOB LOCATION ~5\942.. 44- ~ AV€II1IJ.>L <br /> <br />3q5z.~ PHONE ~fl41C:;(p7-IJlJ)4( <br /> <br />LOT SIZE X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUbDIVISION <br /> <br />PARCEL I.D.~~ <br /> <br />11-7(, _ 2J . bDID' II ODD. VOID <br /> <br />e.~ -~* <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install <br /> <br />_Sign/Temp. ____Sign <br />T~" . Fc""':'\~ ~\..".. <br />PROPOSED USE: ~SiRgl~ family ----H/F <br /> <br />____Move <br /> <br />~emolish <br /> <br />____~~ of Units <br /> <br />----.HI H <br /> <br />_Commercial <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 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 />PERMITS REOUESTED <br /> <br />~BUILDING <br /> <br />$7 ~OO 110 <br />. <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />-KECHANICAL <br /> <br />$ <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 />F.T .F.CTRl ClAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Silltlature <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 />Company tvt\.fu, rrrM,\'(I,(,'hC\Y\ \v\<_. <br />State Cert. or Regist. # R'c nDSS2.\S; <br />City License Registration # 3-; <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />