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<br />{ <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />~~~ ar <br />'i y j' - ,_.;:PI!-~ - ;,;.1.t PHONE <br /> <br />OWNE:OCATl~;/~~ -;Z-~T SIZE <br /> <br />IJ!? <br /> <br />APPLICANT <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. 4t ~ -;:;;:b2.- <br />WORK PROPOSED,_New Construction ~ddition -----"lt~ ---Rep.~all <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move' ____Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />____ff of Units ____M/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQuptED. '. <br /> <br />PP.RMTTS REOUESTED <br /> <br />_BUILDING <br />V ELECTRICAL <br /> <br />Valuation of Total Construction <br />AMP Service ~loridaPower Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br />1-nJ <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'G <br /> <br />-~ <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 />Signature <br /> <br />****************************************** <br />~ONTRACTOR ~ECTION <br />Company <br />State Cert. or Regist. ff <br />City License Registration ff <br />****************************************** <br /> <br />.BlJILDER <br /> <br />:::::::: ~ <br /> <br />., <br />Company, . ~- <br />() . I State Cert. 0 Regist. 4t <br />~~'f/'}:?f. City License egistration 4t <br />*** ************************************ <br /> <br /> <br />Signature <br /> <br />Company <br />I State Cert. or Regist. # <br />city License Registration # <br />****************************************** <br /> <br />pLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />***~*t**~i1**~****************** <br /> <br />Wd . r ur <br />' " <br /> <br />" <br /> <br />PERMIT OFFICER. <br />