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<br />.....~. <br /> <br />r <br /> <br />IF <br /> <br />v-"rL- <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />~_ BUILDING DEPARTMENT <br /> <br />APPLlCANTK,^( ~c'~p~ <br />ADDRESS f) ., z., Sc> -lhv ~ ~ <br />OWNER Dq, JLd ~JQ. ( <br />JOB LOCATION 38-:)37_ Z "",~-e <br /> <br />~ (o:JC ~PHONE5(C, I <br />( , <br /> <br />Bs-80 <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.ff <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 />~/F <br /> <br />_ff 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 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 Installa.tion <br /> <br />_PLUMBING <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 />Signature <br /> <br /> <br />CONTRACTOR SECTIONS C'" #is ~ <br />Company r"'J .~t"" > &> ~ <br />State Cert. or Re~. II_~OQ . 7 7~~ <br />City License Registration i~ <.J 2- <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # . <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL Company <br />State Cert. or Regist. ff <br />Signature City License Registration iF <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br />" <br />