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<br />APPLICATION FOR PER}lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br /> <br />PHONE <br /> <br />APPLICANT <br />C <br />ADDRESS ~ <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br /><51) S S- Is! A <br /> <br />- <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. ~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ~pair ____Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />_!'love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_~~ 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 Fee t, <br /> <br />W/-1~~ <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 FORHSJ* <br />**COpy OF CONTRACT REQUIRED. <br /> <br />EF.RMITS REOUESTED <br /> <br />~LDING <br /> <br />$ ~-.s,-3. o--V <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 />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.'" . <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert, or Regist. !~- <br />City License Registration 6 <br />****************************************** <br /> <br />J3UTLDF.R <br /> <br />Signature <br /> <br />Si!Znature <br /> <br />Company <br />State Cert. or Regist. 6 <br />City License Registration 6 <br />****************************************** <br /> <br />f,T.ECTR1C1 AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br /> <br />Company <br />State ~ert. or Regist, iF <br />City License Registration IF <br />**************************~****:r*\*~**~* ~: <br /> <br />Company ~fl('P7 .s;" , m (~. <br />State Cert. or Regist. i~ /X2 1/01<1 <br />City License Registration i~ D <br /> <br />MECHANICAL <br /> <br />= <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~~J************************** <br />-L,LdcttA' J 0#-"^ '!:v~- . ' PERMIT OFFICER. <br />