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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />" <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE <br /> <br />)' <br />, <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL LD.4t <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ~ddition ~ltera~ion ____Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: ____Single Family ~/F ____4t of Uni ts _M/H <br /> ____Commercial _Indust. ____Swim. Pool Other <br /> <br />~estaurant & 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 FORI-IS. ** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PKRMITS RROlffiSTED <br /> <br />_BUILDING <br /> <br />$ <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 />~ECHANICAL <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: <br /> <br />FT. <br /> <br />CONTRACTORS <br />Builder <br /> <br />Company <br /> <br />Signature City License Registration # <br />***************************************************************************************** <br /> <br />Electrician <br /> <br />Company <br /> <br />Signature City License Registration 4F <br />***************************************************************************************** <br /> <br />Plumber <br /> <br />Company <br /> <br />Signature City License Registration ~~ <br />***************************************************************************************** <br /> <br />'. <br /> <br />Mechanical <br /> <br />Company <br /> <br />Signature , City License Registration # <br />*********************~~****************************************************************** <br /> <br />Other <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration # <br /> <br />I Hereby certify that I have read and examined this application and know the same to be <br />true and correct. All provisions of law and o~dinances governing this type of work will be <br />complied with whether specified herein or not, the granting of a permit does not presume to <br />give authority to violate or cancel the provisions of any other state or local law <br />regulating construction or performance of construction. <br /> <br />Signllture of Owner <br /> <br />Signature of Contractor <br /> <br />Date <br /> <br />Date <br />"signed by the owner <br /> <br />and notarized. <br />