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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />... <br /> <br /> <br />L <br /> <br />, . <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />/RZ~3oYV' <br /> <br />OWNER <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />,- <br /> <br />LOT SIZE~X ~ AREA SQ,FT. <br /> <br />SUBDIVISION ~ ~ ~~ <br />O~ -- flOeOO - Q 0/0 <br /> <br />~lteration ____Repair ____Install <br /> <br />JOB LOCATION <br /> <br />PARCEL I.D.4~ <br /> <br />JL/- &-Co <br /> <br />, <br /> <br />CA.I <br /> <br />WORK PROPOSED:____New Construction ----Addition <br /> <br />_Sign/Temp. <br /> <br />_Sign _Move. _Demolish <br /> <br />o <br /> <br />PROPOSED USE: ____Single Family <br /> <br />---ll/F ____4~ of Uni ts .----M/H <br /> <br />_Commercial <br /> <br />~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 />PF.RMITS 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 />_PLUMBIt{G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.... <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 /> <br />******************************y]** ******** <br />#....1 CONTRACTOR SECTION . t1J //1 4.-. 0{ <br />~ T . Company H <br />State Cert. or Regist. # <br />City License Registration # <br />******************************* <br /> <br />a~ <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # ,0/ <br />*************************************** <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # - <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist, # <br />City,.Li-e,nse Registration l~ - <br /> <br />**~'~** fr*"'J*~. * . **** ' ****'~**** <br />~ ~_6J&L~ ~ PERMIT OFFICER. <br />-- ' : <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br />