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<br />APPLICATION FOR PERN'IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-iENT <br /> <br />JOB LOCATION <br /> <br /> <br />PHONE <br /> <br />Co l{t ~ l '5 & I <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 I.D.l~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~~pair ____Install <br /> <br />____Sign/Temp. _Sign _~love ____Demolish <br />PROPOSED USE: ~ingle Family ~M/F il~ of Units ,.____M/H <br /> <br />____Commercial <br /> <br />~Indust. <br /> <br />____Swim., Poo 1 <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 />COilltERCIAL : <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 />r.P.RMITS REOUESTED <br /> <br />~UILDING <br /> <br />$ <br /> <br />~ Oo-cxJ <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 />____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 />SECT~ & ;:;.,) t;p. , <br />( Company A1 'Y1tYU.J... 1 .A.J J Lf) <br />State Cert. or Regist. # <br />City License Registration j/ <br />****************************************** <br /> <br />T1tV- t' <br /> <br /> <br />signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />f,T.ECTRTCTAN <br /> <br />Signature <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. a <br />City License Registration 0 <br />****************************************** <br /> <br />MECHAN1CAI. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />PTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />****************************************** <br />71 /f /11./ d . _..,fj _/t J;tv,~ <br /> <br />PEmlIT OFFICER. <br />