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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />I C)~i \\ <br /> <br />rv1\ \ ~Y\ I M \ \ ~~ (ChI c:,tructi i) Y1 lVL( <br />I <br />U,S. ?lO\ . Urict-e. ("-\-\I \ H, 33S?:lHONE 352./ St.,']- ~lYr7 <br />I <br /> <br />APPLICANT <br /> <br />ji\'I\ I e <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />4l~~ ?\I.AY\i\ s.-'rr~tlll-~\\~s <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 1. D. # <br /> <br />\4 - Zit} - 2..\ - DO) no 03G,oC) , (')03 U <br /> <br />k~e. -\<?o"f <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Move <br /> <br />~emo1ish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />.--M/F <br /> <br />____~F of Uni ts <br /> <br />~/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 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 />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ '11,',sD <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 />GAS <br /> <br />x- ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ET.ECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />SilZnature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company \'{t \ ~ ( If\.\~+n.l (-\-1 v V\ \ \A.. l <br />State Cert. or Regist. # \~{l'\/)t;'~;>IC;- <br />City License Registration 4t ~ { <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />