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<br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />f!- <br />/ -) E2:.~ ;__) <br />t/\ <br /> <br />.._--.~. ,-'" ,."",. <br /> <br />-'''''; <br /> <br />JOB LOCATION 0^ ~7----t l~-f'/l, sy LOT SIZE2Cx IL.-\AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.i~ 1//0;1-;<' - 2-/- () I q I 0 \..' Ceo, 00 -- 06 ,. 0 <br /> <br />;V1/f-rl- (f)y1 <br />it" I ''J <br />(r" L--.., t I <br />>' r::J-nJ. ..C_ <br /> <br />. (i- <br /> <br />57 <br /> <br />PHONE <br /> <br />/. C' <br />~ <br /> <br />.( <br /> <br />v.. - /" <br />; '-/ <br /> <br />'f <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />" <br /> <br />OWNER <br /> <br />....-- <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~~;tall <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____i~ of Uni ts <br /> <br />__M/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 />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 FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />---- <br />~UILDING <br /> <br />$ <br /> <br />J. /) 1/ <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 /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBHtG <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. n <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY *~~~~.*..~**'*******., PERMIT OFFICER. <br />