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<br />.. <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />&- 3& i- <br />7m (#~- ~ <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LECAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I, D . t~ <br /> <br />WORK PROPOSED:____New Construction '----Addition ----Alteration ____,Repair ____Install <br /> <br />____Sign/Temp, <br /> <br />_Sign <br /> <br />_.t-Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />'_M/F <br /> <br />____t~ of Uni ts <br /> <br />._I'I/H <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 Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />CmU-tERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl'lS.'~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />_ELECTRICAL <br /> <br />,PF.RMTTS REQUESTED <br /> <br />$ 2: i Dc!) 0 Valuation of Total Constructiorl <br />/ <br />AMP Service Florida PO\<Ier Corp. <br /> <br />_H.R.E.C. <br /> <br />~ILDING <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLmlBIN"G <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 />[J n I;J /J CONTRACTOR SECTIOI'V\-./1 .,!/ '? ~ <br />nUII.DER %"r\.u::{aA. ~ ( Company ~ <br />State Cert. or Regist. 0 <br />Signature City License Registration " <br />****************************************** <br /> <br />ELF:CTRTCT AN Company <br />State Cert. or Rcgist. 0 <br />Siunature City License Registration 0 <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. Ii <br />Signature City License Registration J <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. Ii <br />Signature City License Registration!; <br />**********~******************************* <br /> <br />Company <br />State Cert. or-Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature. <br /> <br />APPLICATION APPROVED BY, <br /> <br /> <br />PERtlIT OFFICER. <br />