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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />(~\) )!j~\-g83o <br /> <br />OWNE .-" <br />JOB LOCATION Sit o(~ 5 <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D,lF <br />WORK PROPOSED :_New Construction _Addition _Alteration _Repair ~nstal1 <br />_Sign/Temp. _Sign _Move _Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_IF of Units <br /> <br />._M/H <br />lIe~l'rt r f fl,i Other <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <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.H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />-X..ELECTRICAL <br />-lLMECHANICAL <br /> <br />$ <br /> <br />299~oo <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br />~Frame _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <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 />BUILDER <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />***************************** <br /> <br />'J;) <br /> <br />/ <br />. <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br /> <br />Company G/A t?v ! iV /} i/- Com fa If <br />State Cert. or Regist. # CACo ~2 7~~ <br />City License Registration IF II flA <br />********************************* <br /> <br />OTHER <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City_~icense Registration # <br /> <br />****"*I*~~~*~*.'/r. * / ****,~**** <br />,.., / '/' PERMIT OFFICER. <br />../ <br /> <br />APPLICATION APPROVED BY <br /> <br />':~) t'J ,~~~ I'a::J*;' ; \: <br /> <br />.~ "\' <br /> <br />" r ~ ~~) <br /> <br />.... ., <br /> <br />}~ -~:.J ~i :,~;.'i: <br /> <br />~ ,; <br /> <br />" ,~~\\ \ <br /> <br />I :.; . ~ <br /> <br />~ t.'!, <br /> <br />.. 1 ,c, in' <br />. ,'- 'i~,<~:>~" ~~ . <br />'" , ,.j .-:'1. <br /> <br />.,.... i ,,~,' <br /> <br />:~]J',,;:~',~; ~~: <br /> <br />"101/,,'" ,,~ . <br /> <br />" j',':.1~t>~i "......". <br />