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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />.6~,- !tUNG <br />, <br /> <br />(} {J 3 J AJ {~ 0 'f/J <br /> <br />) J ,i). <br />~/D,A~c f\tjL<-- 1{1DJLTY <br />/ <br /> <br />ADDRESS <br /> <br />Sf. <br /> <br />PHONE <br /> <br />f if)- 3cZF1) <br /> <br />JOB LOCATION <br /> <br />. ~\'nm~F <br />S 111Yl.k. <br /> <br />'. <br /> <br />OWNER <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. # <br /> <br />LRepair <br /> <br />_Install <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_~~ of Uni ts <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, <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 />GAS <br /> <br />Valuation of Mechanical Installation <br />'/ROOFING SPECIALTY <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br />CONTRACTOR SECTION~ .. . <br />. Company ,n ' <br />State Cert. or Regist. ff <br />Signature LJ- City License Registration j~ <br />*************************************** <br /> <br /> <br /> <br />ELECTRTCTAN Company <br />State Cert. or Regist. # <br />SiRnature City License Registration # <br />****************************************** <br /> <br />. PLUMBER Company <br />State Cert. or Regist. ff <br />Signature City License Registration j~ <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert, or Regist. # <br />Signature City License Registration j~ <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. ff <br />Signature City License Regisation j~ <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br /> <br />~.~, <br />