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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br />~'7- 7992- <br /> <br />ADDRESS <br /> <br />OWNER <br />JOB LOCATION LOT SIZEA!2.X 7D AREA SQ. FT .tPffJCJ <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISIO~~' .I~.uY ~ . S' Q.... <br />PARCEL I.D..~ 3<;" -:25' -2/- t!J% - 0 8~O() - 060(9 <br /> <br />WORK PROPOSED:____New Construction ____Addition ~ration ____Repair ____Install <br /> _Sign/Temp. ____Sign _Move _Demolish <br />PROPOSED USE: ____Single Family _M/F ____.~ of Units __M/H <br /> ~mmercial ____Indust. _Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: At) X '70, <br /> <br />?.2m <br /> <br />Square Feet, <br /> <br />~9 <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 />PERMITS REOUESTED <br /> <br />____l...1WILDING <br />~ECTRICAL <br />~ECHANICAL <br />~ <br />____PLUMBING <br /> <br />$ <br /> <br />"3.1-1; ~O() ~ <br />1f10 AMP Service <br />.a. <br />:;2 3 <2J C) ~- <br /> <br />Valuation of Total Construction <br /> <br />~Florida Power Corp. <br /> <br />_\".R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />************************************ <br /> <br />Signature <br /> <br /> <br />CONTRACTOR <br />Company <br />State Cert. or Re i t. # C . <br />Jtu City License Regi~tration i~ <br />****************************** <br /> <br />Company r~1 ~ 1Wfj <?}J <br /> <br />State Cert. or Regist. 4fr c:.!~;;; /"7 <br />City License Registration # . <br />*************************************** <br /> <br />~ VlI) ~ ,J.' <br />5 So V \ Company . .1 JJ- <br />~ ~~ 0) I State Cert. or ist." ;:: ~6 ~ <br />i A~O i).j..J____. City License Registration ;fr <br />*********~****************************** <br /> <br />~ ~l~' , <br />Company :.a...L\ ,.... , <br />State ~ t. or Regist. ..! e.~c.c~ I~ <br />City Lic~nse Registration 1 I ~ <br />****************************************** <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration if <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />