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<br />APPLICATION FOR PERtlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br /> <br />PHONE <br /> <br />'1M .--?~?~- <br />/ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />'. <br /> <br />JOB LOC <br /> <br />;\/; 1~~Aj <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. t~ <br /> <br /><--:::-/ <br />_Repair <br /> <br />____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 />, _____1'1 I H <br />;e KC/c'l <br /> <br />Other <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />____t~ of Uni ts <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />.... <br />Square Fee t, !cf ~ <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 />PF.RM1TS RF.OUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />'&:IRq, t/'( <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 />I.q..B ,~ !Ir/ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <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 />Signature <br /> <br />CONTRAC'roR SF.CTIO~ ~ I '"") /1 <br />Company UY...(.Ii:n '5 /<dd~ Ie; ('~/; <br />State Cert. or Regist. iF ('),~lt6f!.{'f <br />City License Registrat.ion lF ::5 <br />****************************************** <br /> <br />1.i.lcUL.l.LUl. \'L~-.--._- ..... <br /> <br />Company <br /> <br />~, f :\ t -(' "( "(". t. ,'" ~~ {"~;- ; ~;. r d! <br /> <br />....._.,_~_~_._.' ,;'lly l.\\'\H\,'a\~ K\',".~',.\ \.ll \.,'\\ ;; <br />*******.*******.*****.***...~~.~k~kaaAAA.A <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />........*..*********....****************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration # <br />****************************************** <br /> <br />MECHAN1CAI, <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. ff <br />City License Registration 0 <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />/1 ;;;:;:a"~ ;';*;:; ..*~. ,***...,. * * * <br /> <br />PERMIT OFFICER. <br />