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<br />APPLJ:CATJ:ON FOR PERf-l:tT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTr'lENT <br /> <br />OWNER <br /> <br /> <br />PHONE <br /> <br />~ . <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />" <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION <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 _Repair _Install <br /> _Sign/Temp. _Sign _~love ____Demolish <br />PROPOSED USE: ____Single Family ~/F _l~ of Units ,._M/H <br /> _Commercial -..:-Indust. _Swim. Pool Other <br /> <br />,3,- ::2b -;2/ <br /> <br />/Q <br /> <br />o <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMNERCIAL : <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 FOR~lS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />~ERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />valuation of Total Construction <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_ELECTRICAL <br />~CHANICAL <br /> <br />AMP Service <br />$ --5/ () ~ O. {)i) <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 />Signature <br /> <br />~ONTRACTOR SECTTON <br />Company <br />State Cert. or Rcgist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />Inn LD ER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />f,T.ECTRTCTAN <br /> <br />,PLUMBER Company <br />State Cert. or Regist. 0 <br />Signature City License Registration i~ <br />****************************************** <br /> <br />MeCllANlCAI~ Company <br />. . . State Cert. or Regist. 0 <br />Signature . 1-', City License Regis tration i~ <br />****************************************** <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 />. ;? a N1~ J. c:z{j J7 A A1\/1j <br />, ,-' <br /> <br />PERHIT OFFICER. <br />