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<br />- <br />I <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <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.l~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />____Nove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />_l~ of lIni ts <br /> <br />._1'1/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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COill1ERCIAL : <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 FORtIS. ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REQUESTED <br /> <br />____BUILDING <br /> <br />) <br />,~ <br />$ ,,~_t;;Oo <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ~J <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />**** *,:,:* **** **** ******1: -I: * * "'7*'{ -I, ,',,~ * * * ,~-I, -I, ,',-1: <br /> <br />~j~~TffJtTftL lJe~ompany f/rIl~ I? Sj~if /fIi.TIJ( <br />. State Cert. or Regis t. iF Ii ..s 60 ;t'l rs 8 <br />City License Registration iF .5(P:1 ::5?E<!/I1/.T'I <br /> <br />** ** * * * ** * *** * *** R~ *~\ ~ * f:~1~ *~1~-I: " {, * ,',,', -1:-1: -I:>": C) 0 22" ~ R S -00003 <br />PERNIT OFFICER. <br /> <br /> <br />APPLICATION APPROVED BY <br />