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<br />ADDRESS <br /> <br /> <br />APPL'ICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />~ v1 L BUILDING DEPARTMENT <br />./ ,..., N r: ,Y lJ~ IA~ /0 ..... <br />~ <br /> <br />NE 7t:f':2..t--7/yn <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />'. <br /> <br />JOB LOCATION <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 />. dt,~,,-&,~ I~~ <br />____Alt~nEion.~Repair ____Install <br /> <br />WORK PROPOSED:____New Construction ~Addition <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 />____~~ of Uni ts <br /> <br />, _____1'1/ 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 FORl'lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />____ELECTRICAL <br />~ECHANICAL <br /> <br />A1'1P Service <br /> <br />Florida Power Corp. <br /> <br />_"".R.E.C. <br /> <br />$ <br /> <br />90 ?~ cJo <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 />Signature <br /> <br />CONTRACTOR 0ECTION <br />Company <br />State Cert. or Regist. Y <br />City License Registration a <br />*************************************i;**** <br /> <br />mHLDER <br /> <br />Si!?'nature <br /> <br />Company <br />State Cert. or ReGis I:. II <br />City License Regi.stration if <br />****************************************** <br /> <br />ET.Er:TRTr:TAN <br /> <br />Signature <br /> <br />.~' <br />Company <br />State Cert. or Regist. i~ <br />City License Registration # <br />************************** ************** <br /> <br />PLUMBER <br /> <br /> <br />Company <br />State Cert. <br />City License Registration <br />******************************** <br /> <br /> <br />/ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />PTHER <br /> <br />APPLICATION APPROVED BY ***Z;:;:~:4(~:~;;:***'*****'** PEmlIT OFFICER. <br />