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<br />r <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />(U .., A --- <br />APPLICANT \. _/' 7; 0~ t~~- <br />ADDRESS /. <br />OWNER ~J LtI~ ( ~ (/-i ~ . <br />JOB LOCATION ~,::.5j- J (j- V ~-I/ ,_~ <br /> <br />PHONE <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 1. D. ~~ <br /> <br />/ 0 - :;; /." - 2/- {) 060 - 00 0 v 0 - 7Pr) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~1ove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____~~ of Units <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 FORI-IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />____MECHANICAL <br /> <br />$ <br />'2 I} . nlJ~ <br />~Ff< Cf/t?AMf! ~ervice <br /> <br />$ <br /> <br />V/ Florida PO\ver Corp. <br /> <br />_\-l.R.E.C. <br /> <br />____BUILDING <br />~~ECTRICAL <br /> <br />Valuation of Total Construction <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBUfG <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 />ELECTRTCTAN Company -M ),/{c ~;6 ' <br />i ,/l - State Cert. or Regi t. iF <br />Sipnature~/>~ 7ft ~ City License Registration" i9::< <br />~ *****************************************K <br /> <br />PLUMBER Company <br />State Cert. or Regist. 0 <br />Signature City License Registration # <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />***1t *~:*** **** ** ** ** *** 1:* * * *~,~, 1,* * ,', * * * 1:,~ * 1: ,', 1, <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />****~~~*x********************* <br />~. <br /> <br />. "-. -_.-~,......." ; ..... <br /> <br />PERI-lIT OFFICER. <br />