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<br />APPLICATION FOR PERl-tIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />J //~/ ij/~ <br />'X 9t,;! <br /> <br />~A/~ <br />,A/. <br /> <br />PHONE <br /> <br />:7' <br />, <br /> <br />APPLICANT <br /> <br />,<) d-9-:J~ <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />5c9- ;;J- 2-- ;!? 'IL ..,,3 !- <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 1. D. ~~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~pair ____Install <br /> <br />.---- <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />_~~ of Units <br /> <br />, .____M / H <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 I <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 />~ERMTTS REQUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />t7C-. <br />r tZJ -:::0-. <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 /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. !~ <br />City License Registration # <br />****************************************** <br /> <br />IHJTLDER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration a <br />****************************************** <br /> <br />Pol ,ECTRT CT AN <br /> <br />Signature <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 1~ <br />****************************************** <br /> <br />MECHANICAL <br /> <br /> <br />Signature <br /> <br />Company 6d4:/~'1 5 R,.,-f!, ';.q . <br />State Cert. or Regist. l~ o~/.,,'/ b I L/ <br />City License Registration l~ ~3 I <br /> <br />APPLICATION APPROVED BY <br /> <br />*************~************************* <br />'-;If (7~ p1~_ .,;J-1~J. <br /> <br />PERMIT OFFICER. <br />