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<br />1 <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />OWNER <br /> <br />X AREA SQ. FT. <br /> <br />LEGAL DE5~PTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISI:ON <br /> <br />PARCEL I.D.4t <br /> <br />A-/G ~J:) <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair -1l-Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move. ____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____# of Units .____M/H <br /> <br />____commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t , <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUJRED. ~. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />A-MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C, <br /> <br />$ 1:2-/7. 0 I <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIt{G <br /> <br />_r <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIAL TY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR ~ECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />::::::: ~.. J11k4j fA ~~~~::~~:~~eo~e:'s~~~~i:/~R-"~t\/' 2<'1 <br /> <br />****************************************** <br /> <br /> <br />Signature <br /> <br />Company <br />I State Cert, or Regist. # <br />City 'License Registration # <br />****************************************** <br />, <br />MECHANICAL n Company <br />~ State Cert. or Re st. # <br />Signature ^. . f/1~ e!j. City License Registration 4t <br />- . ...... ................................... <br /> <br />PLUMBER <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # . <br /> <br />OTHER <br /> <br />**********************************~******* <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />