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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT .!U ~ ;~~tt <br />ADDRESS (p f /5 _~/L _Qt1J <br />OWNER SA-ntE <br />SAm F <br /> <br />PHONE 19 f ~ 2/55 <br /> <br />JOB LOCATION <br /> <br />---- <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />'. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.iF <br /> <br /> <br />epair ____Install <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/F <br /> <br />_4~ ofUni 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 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 />PRRMITS 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 />____PLUMBING <br /> <br />.'" <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br /> <br />t <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br /> <br />CONTRACTOR <br />Company <br />State Cert. or Regist. iF <br />City License Registration <br />***************************************** <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration iF <br />****************************************** <br /> <br />PLlJMBF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration iF <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />Company <br />State Cert. or Regist. if <br />CityL,icense Regi~trat~on iF <br /> <br />OTHER <br /> <br />Signature <br /> <br />PERMIT OFFICER. <br /> <br />t <br /> <br />,.,..:..~.j <br /> <br />. .-..- ~":',".f;:-f~;'1 <br /> <br />. . ::;,rt t <br />~ ,. ~ <br />>'.-" ..~'''".. t... ".. .'J <br />