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<br />------.--.-- <br />-" <br /> <br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />" <br /> <br />,57Y// f'~ UAA P LOT SIZE X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT (S) ~- Gt - I BLOCt}IJ{) 0 SUBDIVISION 0 Y 7 ~ () - () () 0 0 <br />PARCEL I.D.l~ I~ -;l.(L --2/ - ()Oi)() .- Of7atJ - 0000 ,- <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ~:air ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_l~ 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 FORNS. ",.* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~lorida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_~:rLDING <br />~ELECTRICAL <br /> <br />$ <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 /> <br />CONTRACTOR SECTION <br />nlITT,DER Company <br />State Cert. or Regist. # <br />Signature City License Registration j~ <br />****************************************** <br /> <br />F.I.F.CTRTCTAN~ a;t;~ company/l:t(;i[a2~. <br />---r State Cert. or Regist. j~ ~ <br />,,"nature /~ ~ City License Registration # .s>,t <br />, * ***************** ********* ** **,,;, -;, -;,* *,' 'I, ** * " <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration j~ . <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CAl. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration j~ <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />,);1" ~ ~;] )<'i.J,~r <br /> <br />PERMIT OFFICER. <br />