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<br />APPLICATION FOR PE~~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />)$l.v).:J. I '2tPIJ '(f!It1Ll-5' . H-.. <br />I J <br />I-1Jt.... tV 01<-7 <br /> <br />JOB LOCATION 30Y 3 J"-- E S--if 'Z.Cpl-J. pi- <br />/J <br /> <br />IV: /J r / <J J'./ ,..'j <- <br />Lf r >-- 1..- ~ ,,)-0.. <br /> <br />/}&J9IJ N€ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />7J''L-7:3ry <br /> <br />C" d" l4'V_ Q -- J'l't 10 <;"./ ~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT . <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. ~F <br /> <br />~nstall <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br />/commercial <br /> <br />_M/F <br /> <br />____IF of Uni ts <br /> <br />__M/H <br /> <br />____Indust, <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />X_, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />cr. <br />Line ;;,..... <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <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 />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />/ <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ETFCTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />S i sma ture <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLL'MRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER ~~ <br />Signature . ;-:;%? <br /> <br />Company -LV Arl /);..; I}L P/&Jf?1J-+,/ ~ <br />State Cert. or Regist. # 3bl.~ <br />City License Registration IF · I <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />