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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />L. 0 J <br /> <br />L?J/eCl-(" <br />-z.. l~ n cd? F}J..J:> ft)htf./;r PHONE <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />~J>~X //.p.# <br />LOT SIZE(TS,~ ei:7j AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.4~ <br />1 Z;<' e.os L F1/3 , <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />c <br /> <br />____Demolish <br /> <br />....:...-Sign/Temp. <br /> <br />____Sign ____Move <br /> <br />PROPOSED USE: ____Single Family <br /> <br />----M/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 />PF.RMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />2-2 b S- trY' <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 />____PLUMBI?{G <br /> <br />..... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Stee~ <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br />****************************************** <br />_I ,. CONTRACTOR SECTION _ I. . ' - <br />J)-J SeD /L-',,5 r _ Company 8r./ -3 C l) A,/,5 r <br />-~~. ~ ~/"'J' // State Cert. or Regist. l~ C/?CD..33"-9~/ <br />~~~ City License Registration l~ / ~'J <br />****************************************** <br /> <br />BUTLDER <br /> <br />ELECTRT CT AN . <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 1~ <br />****************************************** <br /> <br />Sillnature <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 /> <br />'\ <br />