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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />~~ \'~~"'\tl-{\~.\- A.\... S O.i~ <br />(, S\~ IL\V\~ P"",LMW~(f <br />S~"'^'~~ r""""Il"-O... '=.2.. ~ <br />'5 ~ 'S '-/ S Vol ct-.~ \--. 5 -i r ~ <br /> <br />ft\.~ M 't- <br />~(> /)hd B <-\W PHONE <br /> <br />. ~ l...)J '" I ~ {. ( <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <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 .l~ <br /> <br />WORK PROPOSED:____New Construction _Addition -^lteration _Repair _Install <br /> ____Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _l~ of Units __MIll <br /> _Commercial _Indust. _Swim. Pool R~) "I'L- Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />ll: <br /> <br />tl\\ <br /> <br />Square Fee t, <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 FO~lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />-;&-BUILDING <br />_ELECTRICAL <br /> <br />$ <br /> <br />OD <br />~6 b 0 ?- Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_\-l.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 />BUILDER ~ ~ <br />Signature~ cQ 8 ~ <br /> <br />CONTRACTOR SECTION ~ <br />Company ~i'vi(~"'t""~.h.\. ~oJ-.........;) ~h\ ,- <br />State Cert. or Regist. 4~ r~ O'-liS16 <br />City License Registration;; ~~) c) <br />****************************************** <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICTAN <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 />MECHANICAL <br /> <br />Signature <br /> <br />*************************************~**** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />~~l!!J**.~~_.t;~-$;t*****" <br />~ ,~ '-- <br /> <br />,- <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />