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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />mi //3Jr IlfYlcJrtld7()n" /;// <br />Iii')) / II,{. 301 . ,j)rJ;/ party, rL 3352<; PHONE <br />I / <br /> <br />-r;;JYI(f I/u},] of 7~1t1rJ?,/ls/ /Il( <br />52/L, - 7#1 - (fy/t+; 7../111/< LOT SIZE X <br /> <br />:?:f;~J 51/1 7 &!J47 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />AREA SQ. FT. <br />(J(J / /) <br /> <br />LEGAL DESCRIPTION: LOT (S ) (JIB 0 <br /> <br />BLOCK 167/)/) SUtiDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />jj-ZfF;- Z) - ODIn. 1M?!)/) . /)/fJb <br /> <br />WORK PROPOSED:____New Construction ---Addition ---Alteration yRe - Rou.f _Install <br />~epair <br /> _Sign/Temp. _Sign ____Move -Demolish <br />PROPOSED USE: _Single Family --->l/ F _~~ of Units .--M/H <br /> ~ommercial _Indust. _Swim. Pool Other <br /> <br />~estaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t , <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 />,L,BUILDING <br /> <br />PF.RHTTS REOUESTED <br />$ 4, ~?S.OLl @/li-~) 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 />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />S i ll1la ture <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State C~rt. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Comp.,ny MI\Jtir ftw<;trl1~ ~~ <br />State Cert. ~r Regis t. # 'OI~ . ,-5 <br />City License Registration 4~ J- I g' <br />, I <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />