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<br />OWNER <br /> <br /> <br />APPLICATION FOR PERtlIT <br />CITY OF ZEPHYRHILLS <br />ILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />" <br /> <br />JOB LOCATION <br /> <br />~ SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____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 />_t~ 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 FOID-IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />_ELECTRICAL <br /> <br />f- (0 '{~p <br /> <br />pERMTTS REOUESTED <br />---- <br />Valuation of Total Construction <br /> <br />_BUILDING <br /> <br />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 />_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 />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <br /> <br />Signature <br /> <br />SiO"nature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 6 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />'--14 ~l <br />" /( ~'\._{\ ';..,., ,/ J.'1..---//1/. j- <br /> <br />.-,\ ' <br />\i <br /> <br />PERMIT OFFICER. <br />