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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />t'R.rrAIK /-/-~/LJEg <br />L-oT f) ~ n P1 "Ei JZ FJ .L. D jJ f) I ~E <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.4~ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED: <br /> <br />New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />c <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move . ~emolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />--.Jl/ F <br /> <br />____# of Units ----H/H <br /> <br />____Commercial <br /> <br />.......::..-Indust. <br /> <br />____Swim. Pool Other <br /> <br />BUILDING ~IZE: <br /> <br />_Restaurant & Health Department Approval <br /> <br />'Se <br /> <br />(3 <br /> <br />x/OJ <br /> <br />Square :Fee t . <br /> <br />IJ <br /> <br />, <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 />$ /JO~{}ZJ <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 />____PLUMBIrfG <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 /> <br />BUILDER <br /> <br />~ 'JA/.= ~ CONT&IoCICl! ~ECT~, _ ~~ <br />- ~ Company '5 C tJ~,/ <br />y State Cert. or Regist. # (fi Co :33?2./ <br />City License Registration # /"1") <br />;; .......................................... <br /> <br />Signature <br /> <br />ELECTRICIAN' <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />S i [;ma ture <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 />