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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~~~ <br />ADDRESS ~ \J I <br />OWNER JJ 0,/ f.\ <br /> <br />\ ~ I ~~ 11m l~\'~ I ttl~r;~(~: ~~;2~ PHONF. <br /> <br />h,~'fY\-e\..1 Jr. <br />~z.,~ r-)~H B\\lrl. Z-h,\\c, <br />, <br /> <br />'Os z./ % 7 - !.r;04 ( <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 />'R~ -Q~ <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~epair ____Install <br /> <br />PARCEL I.D.~~ <br /> <br />____Sign/Temp. <br /> <br />____S ign <br /> <br />____Move <br /> <br />~emolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____~~ of Units <br /> <br />.--H/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />~estaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />( '3'l..~';) . PRRMTTS REOUESTED <br />$ l~, 901). 00 Ru~~ 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 />Sillnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # - <br />****************************************** <br /> <br />ET.F:CTRTCIAN <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMRER <br /> <br />Signature <br /> <br />Company <br />State Cart. or Regist. # <br />City License Registration ~F _ <br />****************************************** <br /> <br />MECHAN'lCAI, <br /> <br />Signature <br /> <br />Signature <br /> <br />Company ~S <br />State Cert. or Regist. # <br />City License Registration <br /> <br /> <br />OTHER <br /> <br />'Ror,.\ex- <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br /> <br />< , <br />