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<br />- - -. -------------. <br />---:------~:"".......,--.,.."".~"-_...-.-...- ..__. ~."..._.,----- <br /> <br />APPLICATION FOR PEIDIIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTt-1ENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br />JOB LOCATION (;,ti. !tV€" PtI16//-e Ih j#t.e t,.~ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~M/F <br /> <br />____tF of Un! ts <br /> <br />.._M/lI <br /> <br />_Commercial <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 Fee t, <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 />~F.RMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br /><> <br /> <br /> <br />AMP Service <br /> <br />Florida Pow~r Corp, <br />/ <br /> <br />_W.R,E,C. <br /> <br />_ELECTRICAL <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />// <br /> <br />____PLUMBING <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Frame <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />-- <br />~ V'.C <br /> <br />S?b <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert <br />City Licens <br />***************************** <br /> <br />R6r~/c,EIl <br />or Regist, II e= s OOO(}t161 <br />Registration 11_ '117 <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or R. ist, # <br />City License Regis ration 0 <br />******************************-*****.***** <br /> <br />PLUMBER <br /> <br />MECHANICAL <br /> <br />Company <br /> <br />Signature <br /> <br />{,..J <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. Ii <br />City License Registration n <br /> <br />Signature <br /> <br />****************************************** <br /> <br />PERl'lIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />