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<br />APPLICATION FOR PE~lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT DJ/S (' ou;tfT1d- t .k!., TCH~.Al <br />ADDRESS 5'-3:;17 6At.-c BL \l1J <br />OWNER DA,e,f3 LJC>D./)~//ll &- <br /> <br />PHONE <br /> <br />JOB LOCATION ;'S A- ~ L <br /> <br />LOT SIZE_~ AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# IJ-.;2Ic~:2I-()OIO-I33~ - 00/0 <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~Install <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 Units <br /> <br />_____M I H <br />fRoI'A/'fE 7'A.v~Other <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <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 />$ <br /> <br />~ C.,6 <br />.;l~ - <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 />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <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 />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />OTHER <br /> <br />DAAJ SCrln1(7'<- <br />~~ <br /> <br />--' <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br /> <br />SJ.8J~.8A;J <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />/~' <br /> <br />.-,' ,:-' <br /> <br />PERMIT OFFICER. <br /> <br />'_, . ''''''''_,.J> _,,' ",'~ <br /> <br />" '''.'. ''f: <br />'-'. ," <br /> <br />,f'" :' <br />, " <br /> <br />t!-- ,,-C't ' <br />.:4....... <br /> <br />.:'\; ~ .~' <br /> <br />~, ..,'-~. -.. , <br /> <br />~" ~.~ - <br /> <br />" ",.,'if""'. <br /> <br />. "..'''' --~ <br /> <br />} <br /> <br />"t'~ <br /> <br />;","t.' ~'"''l:''''' <br />