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<br />APPLICATION FOR PEIDlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />- <br /> <br /> <br />DCWtct WtJ1sJ~ <br />{pIDD l~ SfYeeJ <br /> <br />PHONE~ ~ --'1Q 2- (pLf.g4 <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />II <br /> <br />~. <br /> <br />JOB LOCATION <br /> <br />II <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br />N/4 <br /> <br />, <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />()2~2t.J; - 2/-018D - 00000 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />o .5 'f-O <br /> <br />PARCEL I,D.i~ <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration ____Repair ~nstall <br /> ____sign/Temp. _Sign 1?e-~o . <br /> _Hove ____Demolish <br />PROPOSED USE: _Single Family ~/F _i~ of Uni ts ,._M/H <br /> _Commercial _Indust. _Swim, . Pool 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 FORMS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pRRMITS RROUESTED <br /> <br />_BUILDING <br /> <br />$ <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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />~UT),DF.R ~ ~ONTR~~~~~n~F.CTT01}}UVlI..e/ ~ ~ohY<q <br /> <br />~\ V State Cert. or Regist, iF ~ 'V . <br />Signatur~-<ilO.IJ1 -/' City License Registration iF ..sf? <br />. ****************************************** <br /> <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />f.T.ECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Gert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br /> <br />OTHRR <br /> <br />AFPLICA~.Q~jAfPROVED BY <br />c,t.. ~ <br />~, <br /> <br /> <br />PERMIT OFFICER. <br /> <br />~ . ~~ . "..." .,j.............. __, ""oIh~"'~'" <br />~~.iH\.'" ,.~;,,~ ;. <br /> <br />-':a~~ 'Ii' <br />