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<br />APPLICATION FOR PEru-nT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT "J \ ,\ 0- ~\:>+S, <br />ADDRESS .5'~1 ?- ~~. ~~~ PHONE 7?{'J-~ I ~ 3 <br />OWNER o \~ ~nx- ~ l \ , ~ <br />JOB LOCATION .~f ()... (~-d. ~+. LOT SIZE X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ____Addition <br /> <br />~lteration <br /> <br />PARCEL 1. D. ~~ <br /> <br />____Repair <br /> <br />____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~mmercial <br /> <br />____M/F <br /> <br />____~~ of Uni ts <br /> <br />.____M I H <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 FORNS. ** <br />**COpy OF CONTRACT REQUIRED. <br /> <br />J'F,RMTTS REOUESTED <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />____BUILDING <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 />0'" . <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />_Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />~ONTRACTOR 0ECTION <br />nUTT,DER Company <br />State Cert. or Ftegist. ~ <br />Signature City License Registration U <br /> <br /> <br />:1::::::a ..**......*******:::::::***~2.~ <br />;0 _ Jv."d() ~a . ~~~~\~~:~~:~e~~~~~~;i~n ,~ //7' <br /> <br />***~************************************* <br /> <br />****************************************** <br /> <br />~ <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration U <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICA1, <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 />****************************************** <br /> <br />7t t&~~ ;;; ./I-~ . <br /> <br />PERMIT OFFICER. <br />