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<br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />;/'/ / if <br />/& <br /> <br />;p <br />~7 <br /> <br /> <br />E'~#~ <br />.7;7;:, 9yr;~ <br /> <br />. <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />~v- <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />'2.& .- ;) / <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />" / <br />PARCEL I.D.# // <br /> <br />(!) 0 1'0 - / 'f,({} 0 -- () j I <br /> <br />WORK PROPOSED:____New Construction ____Addition ~lteration V-- Repair _Install <br /> ____sign/Temp. ____Sign _Move _Demolish <br />PROPOSED USE: ____Single Family _M/F _4F of Units __M/H <br /> _commercial _Indust. ____Swim. Pool 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 />~UILDING <br /> <br />~RM~TS REOUESTED <br />$ I Jr() 0 . () (/) ~ ~Go~ 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 />____PLUMBIN'G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />f ; /1--- - <br />. -,t.,/'/ /.'::.. <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />SiQ:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />**********************************'******* <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />