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<br />OWNER <br />JOB LOCATION 5S-~1 <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICAN <br /> <br />- 6-.L- <br /> <br />ADDRESS <br /> <br />PHONE 7;1;J- err 1 r <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />--------- -- <br />PARCEL I. D. ~F ------ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ~ddition ~lteration ____Repair ____Install <br /> ____sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ~ngle Family _M/F ____~~ of Units _____1'1/ 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 FORNS."H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />____BUILDING <br /> <br />PERMITS REOUESTED <br />$ ?2.J0 I '7S:-Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_PLUMBIN"G <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />~~FING SPECIALTY <br /> <br />____MECHANICAL <br /> <br />$ <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 />Sil?: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 />~ ~ .........~ <br />. \.. ~ .' <br />Company, ~ (. -,r? <<, c7r. ""9 <br />Stat.e Cert. or Regis t. ~F - S- <br />City License Registration # <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br /> <br />Cc." <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERNIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />