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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PI:; f.' 2-- <br /> <br />APPLICANT <br /> <br />\/?Iwe, I (\1\ ~ <br />\!J'))I Us 3D\ <br />~LAYY\/\ \~ I ~\Ad,~ <br />5 24~ ~ S ~ ~+reeJ- <br /> <br />J)oJe <br /> <br />( .~ 33S2:~ . . <br />.,: I QpHONE "SLcrl Lot14 7 <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <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.4~ <br /> <br />I~l!..- K"D\:" <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____Move <br /> <br />..-Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />---.JI/ F <br /> <br />____ft of Uni ts <br /> <br />.-M/H <br /> <br />____Commercial <br /> <br />____Indus t . <br /> <br />____Swim. Pool <br /> <br />~ <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: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />...b-BUlLDING <br /> <br />$ (n 32. . 00 <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 />--"ECHANICAL <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 />ET.ECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Sillnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PI.UMBER <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,ny ('i"\~d( (IYYI&t'rurh,)V) \V\C- <br />State Cert. or Regist.# Rc.. li)c,S21';- <br />City License Registration # <br /> <br />OTHER <br /> <br />Kt")l) FIMo <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />