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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />Ch 17 f' f~ C; ,C; ~ t!J A. e;, <br />b d. J if S f}-y /> ~ 0 I)"c-;> _ S 9'-~ <br />53 ft.-. IY) t.E. / <br /> <br />(!J 11-1<" 5 , dE <br />PHONE . <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />'. <br /> <br />JOB LOCATION <br /> <br />~ A r-y") ~ <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 _Repair _Install <br /> _Sign/Temp. _Sign _Nove _Demolish <br />PROPOSED USE: ____Single Family _H/F _i~ of Uni ts . ._M / H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Departmert 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 REQUESTED <br /> <br />_BUILDING $ <br />_ELECTRICAL J(tJ AMP Service <br /> I - <br />_MECHANICAL $ <br />. 0#- <br />_PLUMBING GAS <br /> <br />Valuation of Total Construction <br /> <br />~orida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration il <br />****************************************** <br /> <br /> <br />::::::.::AGf~~*~\:jm:;h~~~;;;.~ " <br /> <br /> <br /> <br />PLUMBER Company <br />State Cert. or Regist. 0 <br />Signature City License Registration H <br />****************************************** <br /> <br />l;; !~('~ <br /> <br />~J1' <br /> <br />Signature <br /> <br />Company ifJ'1J1e.3 h,u,I'/;,J, <br />. , <br />.z... State Cert. or Regist. il <br />, /,.6'-< ___ City License Registration <br />~ ****************************************** <br /> <br />611.. .JL 1JG J.: IV c <br />(" ilJCCyJ"t Y&> <br />il /: <br /> <br />MECHANICAT. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. H <br />City License Registration # <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />