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<br />APPLICATION FOR PEru-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTl'1ENT <br /> <br />APPLICANT .-rh 1) ~ fj- f: j~ <br />& A t/ s-' I t,-Ph ,Jf <br /> <br />OWNER 'f ~-~ <br /> <br />',J?1 L~;1, <br /> <br />ADDRESS <br /> <br />PHONE 7 c;r? <br /> <br />"-9 ~7 <br /> <br />JOB LOCATION f,'J...fl J / J>>t.ft- <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 1.D.~~ W/>;r:;:, ~...I~ <br /> <br />j~~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <br /> <br />_Repair <br /> <br />I~nstall <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~ngle Family <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />_M/F <br /> <br />____~~ of Uni ts <br /> <br />, _____M / II <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 />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 />pERMTTS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Vriluation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.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 0ECTION <br />Company <br />State Cert. or Regist, iF <br />City License Registration 0 <br />****************************************** <br /> <br />nmLDER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration 0 <br />****************************************** <br /> <br />, PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAT. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />DTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~;~.:~.;~.~.;...~.****'******* <br /> <br />PERI-lIT OFFICER. <br />