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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />})~N <br />'I. ~?f1 G: oiJ( <br />DA~w't..n' <br /> <br />\n 'l ,{ L~ ;:r we <br />~LVV <br />~Arvt\ <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D .IF <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_!'love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_H of Units <br /> <br />__H/1I <br /> <br />_Commercial <br /> <br />_Indust, <br /> <br />_swim. Pool <br /> <br />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: <br />COMt1ERCIAL : <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 fORI-IS. >~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REQtJESTED <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 />_\-l.R.E.C. <br /> <br />_MECHANICAL <br />'~PLUMBnrG <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration ~~ <br />****************************************** <br /> <br />BUILDER <br /> <br />r'\ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />. Company /.~ lJ1 ~/l4 <br />State Cert. or Regis(,t. !.~ <br />City License Registration # <br />***************************************** <br /> <br />El.ECTRTCTAN <br /> <br />Si!!nature <br /> <br /> <br />~ <br />o c.J 0 6...!;'-R' <br />')- C 7 <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />.City License Registration 4~ <br />*************************************~**** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~**~****************~*****..*~~~~~~~...~ <br /> <br />)f~ ;gr(!A~~ . O:HHOO <br /> <br />PERI-tIT OFFICER. <br />