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<br />APPLICATION FOR PERtlIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT /::1 .-3'/,,~ ' <br />ADDRESS .5--II? ~ !J1:.J./~; . <br />OWNER ,~/}''-') ':Ih/P/; : <br /> <br />PHONE <br /> <br />- . <br /> <br />JOB LOCATION <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 .i~ <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____i~ of lIni 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 FORl"lS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />t, <br /> <br />$11 (</o/L/ ' J-~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <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 U <br />****************************************** <br /> <br />BUTT.DER <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration U <br />****************************************** <br /> <br />f.T.ECTRICT AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration 1 <br />****************************************** <br /> <br />. JJ I <br />Company f3r."U4h S 1:./'(/ I {~ <br />State Cert. or Regist. i~ . '()tlf(f.,.It{ <br />City License Registration U ~~ <br /> <br />MECHANICAl, <br /> <br />Signature <br /> <br /> <br />APPLICATION APPROVED BY <br /> <br />:i!;;~*~~~*;:;.:*-'*~*****W"*** <br /> <br />PEilllIT OFFICER. <br />