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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT 1}7/<.. \ R DS5 <br /> <br />'E/(/Ef{fl~ ro/~T ~oT:z.?- <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br />JOB LOCATION :K /he /? fl.L....i) t> 01 #'T <br /> <br />4127.. LOT SIZEti-.3?x6S AREA SQ. FT. /')0 0 <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~t <br />zgy't C .5 ~ fJg <br />WORK PROPOSED:~New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />c <br /> <br />____Sign/Temp. <br /> <br />____Sign ____Move <br /> <br />____Demolish <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 Fee t , <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 />PF.RMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ 2$ov <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br />_PLUMBIN"G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />****************************************** <br />___ I __ CONTRACTOR SECTION - I - <br />J+-J 5 C D A./ {; / Company lfV..5 c. f).n/S / <br />/:>~ ~~ State Cert. or Regist. i~ CRco3342.) <br />CL1 i/"" City License Registration # J~'} <br />*******************************~********** <br /> <br />Bll1LDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />SiQnature <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 />