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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARnmNT <br /> <br />^PPLICANT <br /> <br /> <br />'. <br /> <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. it <br /> <br />WORK PROPOSED:____New Construction ____Addition _Alteration ____Repair ~stall <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____!'\ove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____it of Uni ts <br /> <br />. __1'1 I H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />____Swim. <br /> <br />Pool <br /> <br />€fajr) <br /> <br />Other <br />c,l.~H1Lt<t'? , <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 FORHS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'\S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____MECHANICAL <br /> <br />~AMP Service <br /> <br />"'-/95' I tJ 0 <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_ELECTRICAL <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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registration n <br />****************************************** <br /> <br />nUTLDER <br /> <br />Signature <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration n <br />****************************************** <br /> <br />Si!:mature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br />**************************** ~************ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MEGllANICA~ <br />S1.gnature <br />\ <br /> <br />~ Company, . <br />~ State Cert. or R gist. 1F <br />~~ ~ City License Registration <br />. ****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. 0 <br />City'License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />.,...-' <br /> <br />/ <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERNIT OFFICER. <br />