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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />-:s \) "'" 't'\ -S . ~ \ '\\ Q. Q \\ <br />5~~~ \\~ 'S\ 2~\>"'-f~\\S <br />-:s\:),,~ -:s. ~\~~~'f\ <br /> <br />PHONE '\\~.-lJ l S <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION -S~\'\\~ C\~ Q'b~~,~ LOT SIZE_X AREA SQ.FT. <br />LEGAL DESCRIPTION: LOT(S) 9+-/0 BLOCK If-I SUBDIVISION <br />PARCEL LD.4F I / ;; ~ - ,).../ ..... (/ /,)/ {) - / r/ CJ 0 - 00:7 7J <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration _Repair _Ins tall <br /> _Sign/Temp. _Sign _Move V Demolish <br />PROPOSED USE: _Single Family _M/F _4F of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool 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 />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 />_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 ____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 Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />S hma ture <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <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. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. #. <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />'~***********~******,*,***************** <br />r /.1.A1...eL, 0- .... ; t2 A...... j-..... ,.-.. <br /> <br />PERMIT OFFICER. <br />