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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />m/ m~ <br />Gj fS R '"'::rdf -Y.!I <br />~. ~(?AA' <; <br />f;/?)' J<tj LO/ ~'}- <br /> <br />O~K<;,\tle <br />PHONE <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D.lF ~ - .;;l t:, - .;2../ - ~--O <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: ____Single Family _M/F ____IF of Units __N/H <br /> Md~fE ' ~ 0/r <br /> ____Commercial ____Indust. _Swim. Pool )/(I? ",cOther - <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.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <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 />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN"G <br /> <br />0'" <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: 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 />:::::::::AFl'~<A~ . <br /> <br />Company ':1 0 ~d,r:Jyv E)r {!-f} I <br />C~ State Cert: or Regist. 1F <br />-A"a..._...__ City License Registration 1~ ~5R' <br />** ************************************** <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. ~F <br />City License Registration # . <br />****************************************** <br /> <br />MECHANICAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />