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<br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />:5 (:(..JL <br />5'1"le <br /> <br />PHONE ? ''-- '7 114 -( <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />WORK PROPOSED:____New Construction <br /> <br />vi Addition <br /> <br />_Alteration <br /> <br />____Repair _Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~ingle Family <br /> <br />_Sign <br /> <br />_Move _Demolish <br /> <br />_M/F <br /> <br />_iF of Uni ts <br /> <br />__N/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 />/0 I' X~, <br /> <br />It, 0 <br /> <br />Square Feet, <br /> <br />r <br />7~~ <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS, "'* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />~UILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ <br /> <br />"'1 ~~ ~ 01) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_?LUNBING <br /> <br />GAS <br />~Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <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. # <br />City License Registratic)n 4~ <br />****************************************** <br /> <br />BUILDER (Q(LJ7/l~JL <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />********************************~****~**** <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLlJMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. r <br />City License Registrat~on :fr <br />*****************************************.* <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration <br />'-j"':;: " <br />*...... *... ,'" * *Jjf}: * '!5 * **~: ~,,{/J,: 1, J. *z::-}' -'. J_ ,0- J./2., -', J. -'. .'. <br />~~. ~JlZ:.:;;;'{~ :"..::;:,d'.......... PERNIT OFFICER. <br /> <br />~.. <br />.11' <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br />