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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />:p- ZZ,b \ <br />~~3'; .to <br /> <br />ADDRESS <br /> <br />\l.lW\U- <br />\ c::: (,"\ . <br />~ ,) ,\ <br /> <br />f{l ,\ \uYl \ fv'\\ Wr-Y (rYVI~\(\ J (1). bY\ " \ 1"( ~ <br />~ "\ ~ C \ ,-- U<>'>\. <br />~)\ I <- 1J(\ . ~)\t 'I \....-1..'" J .'J&}lHONE <br /> <br />'~y;~-./ ::=lpl "/,0047 <br />. <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />f\r\r'~1 .) <br />, <br /> <br />J"f'N Vi {' f' ~;1 ~ _ <br /> <br />JOB LOCATION ~8 ~4 Y} S,\)I'. !\J{M\.,H I L -(\ \ \\~ <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. ~~ \ \ 2..{~ - 7 \ . /}\J \ (') . II q,,;\) - \')C)\ \ <br /> <br />~~.. ~vu-{ <br />~Repair ____Install <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />-.-..M / F <br /> <br />_~; of Uni ts <br /> <br />.-M/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 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 />~UILDING <br />_ELECTRICAL <br /> <br />$2 \. b u ~ SO <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />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 <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Sillnature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~; <br />****************************************** <br /> <br />El.ECTRICTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CAl. <br /> <br />Signature <br /> <br />Signature <br /> <br />Company M\\Dcs.{ (N<;,ffiUfI,H'1 <br />State Cert. or Regist. # Rc <br />City License Registration # <br /> <br />\ ~'\r <br />, <br />ill) '-:::.r":; Ll S <br />Zlq, <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />