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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ - , <br />APPLICANT f:~; /JfI'~~17t7A1 <br />ADDRESS ~_~ _~_1<<.;t , ~ANe-' 2~I/S <br />OWNER A,I'NtlYID PIII/;' P.s' <br />I <br /> <br />/6 $r 7-/kIIS <br /> <br />PHONE <br /> <br />?fR''-9'b3t <br /> <br />JOB LOCATION ~~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />~nstall <br /> <br />WORK PROPOSED:_New Construction _Addition ____Alteration _Repair <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />____M/F <br /> <br />_t~ of Uni ts <br /> <br />, .____M I H <br /> <br />____commercial <br /> <br />_Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~F.RMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <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 />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration U <br />****************************************** <br /> <br />J3U1LDER <br /> <br />Sillnature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration U <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 6 <br />City License Registration # <br />****************************************** <br /> <br />PLllMRF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. D <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company 1S 0 &~/: 1'/ /' ~~,6f7i11?' <br />, <br />State Cert. or Regist. U <br />City License Registration !~ .~t:> <br /> <br /> <br />APPLICATION APPROVED BY jv.r;~"~;~:;::;:""'~"*+"****"*' PERMIT OFFICER. <br />