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<br />APPLICATION FOR PERl-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTHENT <br /> <br />JOB LOCATION <br /> <br />1It~~ <br />~;2~ <br />~ <br />S ,f1t~- <br /> <br />~/~Tdr' <br />i 71<-- S'-t- <br /> <br />PHONE <br /> <br />~ 73~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE 9tJ X (([~ <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I, D. iF <br /> <br />If <br /> <br />t2G <br /> <br />r:J.../ <br /> <br />t)O/O <br /> <br />07Vo6 <br /> <br />0010 <br /> <br />WORK PROPOSED:____New Construction <br /> <br />____Addition ____Alteration <br /> <br />_Repair <br /> <br />~nstall <br /> <br />____Sign/Temp, <br /> <br />_Sign <br /> <br />_~love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~M/F <br /> <br />____iF 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 />9~ <br />, <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMl-IERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMTTS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />~~' <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Powcr 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 />cr ~ . CONTRACTOR SECTION <br />DllTlJlF.R 2>(f1f~ FJ'<.cJIt1<(fI"'. Company <br />K >> ~ , State Cert. or Rcgist. il <br />Signature l ' (}j~-.e,. City License RcglsLr,lLinn il <br />****************************************** <br /> <br />77 <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Rcgistration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl, <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br /> <br />OTHER <br /> <br />APPLI CA nON APPROVED BY ::;;:1:;:;:;:;r" #.~ ~::,:.:;-* '."" ,en"" e, * PWlIT OFrr CER . <br />