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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br /> <br />7:2 Lj 1-/ )iJi 8J~l <br /> <br />LOT SIZE <br /> <br />x <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br />$commercial <br /> <br />_M/F <br /> <br />_4F of Uni ts <br /> <br />__M/H <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: I!i X f.J!-8':' <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />~BUILDING <br />..LELECTRICAL <br /> <br />$ <br /> <br />/3 <br />~ <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 />,.APLUMBING <br /> <br />$ <br /> <br />~(5 <br /> <br />Valuation of Mechanical Installation <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 />CONTMCTOR ~E~~ ^ ~ . ~ . ~ <br />Company . " <br />State Cere or R~ 'st, ,I hr~;.- r;,=- <br />City License Registration IF l~ C&t!'ID1;)3 <br />****************************************** <br /> <br /> <br />?? . [I /J "1 , <br />ET,ECTRTCIAN 'I ~ ~ Company eL/L <br />-t # I~ State Cert. or Regist. IF <br />Sie:nature ( ~-:7_ - W ~- , City License Registration 4F <br />A ****************************************** <br />, { C ~~ J.-d.~ .~ <br />PLUMBER V 1/. C. f ~ ,rt... r Company 'i /? .C. (P ~ ~'~ ! <br />.//1 ./? I State Cert. or Regist. 4F+--:-_ ~ ~l!>3 7 l1'7? <br />Signature ~ c.y/ ~ City License Registratioo II V - <br />. ****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. IF <br />City License Registration 4F <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration IF _ <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />