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<br />JOB LOCATION <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING EPARTMENT <br /> <br />PHONE <br /> <br />,~'~r-315 It ~ <br /> <br />r <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />~, <br /> <br />OWNER <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 />~ A/c- <br /> <br />_Repair Install <br /> <br />WORK PROPOSED:_New Construction ____Addition _Alteration <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim., Pool <br /> <br />, .____M / H <br /> <br />~~-ft~ <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____~~ of Uni ts <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 />pF.RMITS REOUESTED <br /> <br />_BUILDING <br />-A-ELECTRICAL <br />~MECHANICAL <br />____PLUMBING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br />r <br />$ ::< if I!J ., ~ V <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <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 /> <br />CONTRACTOR SECTION <br />Com,,~any <br />State Cert. or Regist. i~_ <br />City License Registration U <br />********************* -I: ********* <br /> <br />J3UTLDER <br /> <br />Compan <br />St3.te Cert. or <br />City License R gistration <br />************************************ <br />'--l <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 41 <br />City License U <br />********************* * <br /> <br />Signature <br /> <br />C,-,mpany: <br />State Cert. or egist. U <br />City License Registration <br />***************************************** <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration U <br /> <br />OTHF.R <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br /> <br />?1~41'1 4.P/l~) . <br /> <br />PERMIT OFFICER. <br />