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<br />--. <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANTU<--tl" ~l~ <br /> <br />::::S~~ck<i'\~JI1b ~~~C~- <br /> <br />JOB LOCATION.Ji)P -3 9J S- '3 vJ 211\ ~ .4.v~ <br /> <br />PHONE <br /> <br />S{;, '";) [) r-8o <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.# <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <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 />_tt 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 FORMS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_W.R.E,C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.~ , <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />+ CONTRACTOR SECTION S' ~' ~- rl-lCo. <br />Company G ~to ' <br />State Cert. or Regist, 4 ,. SI 7 10 ~ <br />Signature City License Registration # '1 7___ <br />****************************************** <br /> <br /> <br />ET.F.CTRICIAN Company <br />State Cert. or Regist, # <br />Signature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist, # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert, or Regist, # <br />Signature City License Registration # <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration # _ <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />