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<br />APPLICANT : ~ (. .fu,r~t>K~ 7~ &~m <br />ADDRESS . 5<=1 t} ~ I 3 -\:A. .skt:.* . ~~E '19 ~ <br />Fd.%o.~-~r~~~ <br />JOB LOCATION ..~~ <br /> <br />OWNER <br /> <br />AFPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT .' <br /> <br /> <br />..' ..~'~ ~"Y, '~'_"~.':':" <br /> <br />-'..~LtJw <br /> <br />'. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />- ...- <br />AREA SQ. FT. <br /> <br />BLOCK . <br /> <br />SU'8DIVISION <br /> <br /> <br />LEGAL DESCRIPTIO~: LOT(S) <br />PARCEL I.D.~~ <br /> <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />____Demolish <br /> <br />____sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />~/F <br /> <br />____~~ of Uni ts <br /> <br />" . ._M1H <br /> <br />~(~~~ Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />____BUILDING <br /> <br />____ELECTRICAL <br /> <br />_MECHANICAL <br /> <br />____PLUMBING <br /> <br />____Commercial <br /> <br />.......;..;..-Indust:. <br /> <br />_Swim. Pool <br /> <br />____Restaurant & Health Department Approval <br /> <br />x <br /> <br />Square Feet. <br /> <br />Height <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 />PERMTTS REO tiES TED <br /> <br />$' 3"1~.~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />~ ROOFING SPEQIALTY <br /> <br />GAS <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />OTHER ~\~Ir- <br />Signature - ~ (,,..1 <br />~ <br /> <br />Signature <br /> <br /> <br />Signat~re <br /> <br />MECHAN1CAL <br /> <br />Signature <br /> <br />************************************** <br /> <br /> <br />/ <br />I- <br /> <br />I <br /> <br />. . CONTRACTOR SECTION / <br />Company <br />. State Cert. or Regist. # ,/ <br />City License Registration~ <br />***************************************** <br /> <br /> <br />'company , . / <br />State Cert. or Regist. # / <br />City License Registration~ <br />****************************************** <br /> <br />Company / <br />. State Cert. or Regist. # /' <br />City License Registration~ /' <br />****************************************** ~ <br /> <br />Company / <br />State Cert. or Regist. 4~ / <br />City License Registratio~4~ <br />****************************************** <br /> <br />Company ~elA:~~ <br />State Cert. or Re ist. # ~~OOCO f9,CD 3 <br />City License Registration # -till "2.B'"L <br /> <br />****************************************** <br />, <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />