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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br /> <br />LOT SIZE_X <br /> <br />AREA SQ,FT. <br /> <br />f? It ,..-j ~ 1I: <br />c:. <,; .~f~). <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />t:l9 <br /> <br />ftLOCK <br /> <br />SUBDIVISION ,'1lff-IA L!tflrij~ <br /> <br />PARCEL 1. D. # <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Ins tall <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ____Single Family ____M/F ____4~ of Units _____M / H <br /> ____Commercial _Indust. v-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 />PERMITS REOUESTED <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 <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />CONTRACTOR SECTION ,/J <br />BUILDER Company ~ LU f_ 0.0 ~l~~ (J,ry,...-t:4- <br />~ State Cert. or Regist. 4F Cre.A Nfl/X <br />"'7 _ /_' <br />Signature _..!:!:LO_ City License Registration H <br />****************************************** . <br /> <br /> <br />::::::~ ~..:........m~~~;;;~::;~7~;i~( ~do(!, <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Signature <br /> <br />~~-/IO& <br /> <br />Company f2 (V\ - L - A III "^ ~ to.) \( ^" <br />State Cert. or Regist. IF ~}( 00 ..s~S-J(,.J- <br />City License Registration # <br />/-, <br />c_. *-=*,'>i<*1'***********:f,f*~* :I<****. **;:*******;,* <br />BY'/ ,. 1 / IX,_. ..' <br /> <br />OTHER <br /> <br />APPLICATION APPROVED <br /> <br /> <br />PERMIT OFFICER. <br />