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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />7B'~) <br />~- <br /> <br />GAS 5 <br /> <br />OWNER <br /> <br />......,.; /..... f-;,r:" :s <br /> <br />\ <br />-..j . <br /> <br />N' '~L~' .-.:::. <br />. I t-'.:, 'r~' I--- <br /> <br />" <br /> <br />JOB LOCATION 510 '.ill ~ ~...i(UC/..vC. A<.J~ <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 />WORK PROPOSED:____New Construction _Addition _Alteration ____Repair _Install <br /> ____Sign/Temp. _Sign _Move ____Demolish <br />PROPOSED USE: ~Single Family ____M/F ____~~ of Units .._M/H <br /> _Commercial ____Indust. _Swim. Pool 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 FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING $ <br />-X-ELECTRICAL ZLJO <br />_MECHANICAL $ <br /> ..- <br />_PLUMBING <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFIHG <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 />Company <br />State Cert. or Regist. ff <br />City License Registration 0 <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~F <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />/ <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />APPLICATIO <br /> <br />PERMIT OFFICER. <br />