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<br />APPLICATION FOR PEIDIIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />~D.57 ;,. r!l /l.eh-///O <br />jI/! ~j}cI?J ~)06c:-1 <br /> <br />L~t5 .La <br />, <br /> <br />PHONE ( g L3 ,l r-; ft.3 - I J. 6,5 <br /> <br />APPLICANT <br /> <br />0~5~S <br /> <br />'. <br /> <br />OWNER <br /> <br />JOB LOCATION 2 c,P 6 fL- n~; #..s <br />/ <br />LEGAL DESCRIPTION: LOT (S) 7 / -I 7 ~ BLOCK <br /> <br />PARCEL l.D.t~ /3 - .;;26 ~ ~/ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION <br /> <br />m~~~~~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair _Install <br /> _Sign/Temp. ____Sign _Hove ____Demolish <br />PROPOSED USE: __Single Family ____M/F _t~ of Units .____M / H <br /> ____Commercial ____Indust. _Swim. Pool "-...-7:,/1--1 Jl J? 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 FOllIS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PF.RMTTS REOUESTED <br /> <br />~BUILDING <br /> <br />? <br />$ _..) uD. OV <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 />.... . <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 /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />~UTT.DER <br /> <br />Sionature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />f,T.ECTRICT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. U <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY ~~~~;~.~.**..***.***********' <br /> <br />PERMIT OFFICER. <br />