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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT C 1., a )-1 e S Wl S f: U r /t','))' <br />ADDRESS /j 2> q ~ 0 ;l nd , A ~e,2. h r I J 5 <br />OWNER C)., zu- ) e~-i- 1'1 a r- fa. f-e t ~fu",,/ I hj <br /> <br />PHONE <br /> <br />78~-~~9g <br /> <br />JOB LOCATION <br />LEGAL DESCRIPTION: LOT (S) I - 2 - X cd <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />J <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />~' <br /> <br />PARCEL 1. D. iF <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration ____Repair ____Install <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 />_i~ of Units <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 />:fERMITS REQUESTED <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 />GAS <br /> <br />Valuation of Mechanical Installation <br />__ROOFING ~Z:~SP.ECIALTY <br />_Fran;e _Steel Other <br /> <br />_MECHANICAL $ <br />VPLUMBING <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />_Block <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRA~T2R SECTION <br />Co:npany <br />St~te Cert. or Rcgist. # <br />City License Registration n <br />********************k********************* <br /> <br />BUTLDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration n <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**************~*~*~~********************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER' Company <br />/iJ/? 4. ~ St9tc Cert. or Regist. l~ <br />S~gnature (_~~ ~ City License Registration 1~ <br /> <br />J0'~:::~_._**~****~:~'****************** <br />APPLICATION APPROVED BY ~ <br /> <br />PEill'IIT OFFICER. <br />