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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS, ?%7/7 ~;7~ <br />OWNER Ct ./'i-/~//L H~a;. <br /> <br />JOB LOCATION ~;?;- <br /> <br />PHONE <br /> <br />7/,(- 53? c:-dLd~. <br />\ <br /> <br />~ <br />.-/ v/ ~t// S <br />-- <br /> <br />LOT SIZE_X <br /> <br />AREA SQ, FT. 3-05/ <br /> <br />LEGAL DESCRIPTION: LOT(S) /rJ r /(J/ <br />PARCEL I. D, # Z -;70 ~ 021 - JiJ - r:J - <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />____Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />____# of Units <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.H <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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # ' , <br />City License Registration # /;l...(~~ <br />****************************************** <br /> <br />Signature <br /> <br />ELECTRICiAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <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. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City LJcense Registration # <br />.' ) <br />* * * * "'^t- * * ~.{~ *"'- <br />. ,/' <br /> <br />OTHER <br /> <br />Signature <br /> <br />PERMIT OFFICER. <br />