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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />,-.- <br /> <br />0~c~'stA-lC.+ ft +:}. ., ~.' --- ,., <br />ADDRESS /J (Q (J! A b!uz Dr. b;J .J!,A!sJQS: <br />OWNER rriZu:J<.rd <? Lie g u" <br />JOB LOCATION S1{J!.f For-~<:t L.a..n.e <br /> <br />, ' <br />0".- <br /> <br />. ~<--...,\<:<~, <br />_' ~iuNEC:.. oJ ~ .>..L ( - <br /> <br />D '-'!2() <br /> <br />'. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,I~ /O-u2..G.-..2./- 0)/0-00000- 0150 <br /> <br />WORK PROPOSED:____New Construction ____Addi~ion ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/P <br /> <br />_t~ of Uni ts <br /> <br />,,_M/H <br /> <br />_Commercial <br /> <br />_Indust. <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: <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 FORtIS. ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />~MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.'" , <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************** <br /> <br />}nnLDER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />ET.ECTRT GlAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. i! <br />City License Registration n <br />****************************************** <br /> <br />PLUMBER <br /> <br /> <br />Signature <br /> <br />Company Ja.C;\( S' A-I C ~'++-ks ' <br />State Cert. or Regist. i! eft Co <j{()..c)...O <br />City License Registration j~ /1?1 <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. i! <br />City License Registration 0 <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER, <br /> <br />l~ <br />..,.'-.1-'.."."'" -""'" <br />~.. .. f ~l." - ...- "', <br />.,", ", <br /> <br />;,-=!f ~ <br /> <br />. !';;~'Ifc -.'. ,.. '0 <br />