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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />..:J11Vl <br /> <br />t1 fit? )J/J <br /> <br />AD T 1)/ <br /> <br />C tP1 EI?J7J.,D jJ D/;Ur <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />.LeT 'II <br /> <br />[:,IYlE/U1J.D fJOltYr- LOT SIZs..?C X 68 AREA SQ.FT. JLOD <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4~ <br />Z 0)( "-0 ,5LJ1B <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />c <br /> <br />~emolish <br /> <br />_Sign/Temp. <br /> <br />_Sign ____Move <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F _# of Units <br /> <br />.-M/H <br /> <br />____Commercial <br /> <br />~Indust. . ____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 />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ z.--r~V, cO <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 />____PLUMBIN"G <br /> <br />.- <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 I -- <br />.tlll.om i755 C" /1/5 ~ Company 0-':[5 c. v A/S .I <br />/") ..L-.L, State Cert. or Regist. 4F C~ eo '33~Z.J <br />Signature Lu~ . City License Registration # /-1') <br />.......................................... <br /> <br />El.ECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />SilZnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <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 />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />... <br />