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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br /> <br />~.2-- ?b"t-/3 <br />, , <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I. D. ~F <br /> <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK <br /> <br />_Repair <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 />_~F of Uni 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 />PERMITS REOUESTED <br /> <br />_BUILDING <br />~CTRICAL <br />~HANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br />r <br />$ ~.?-gj I V 0 <br />- <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C, <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 />CONTRACTOR SECTION <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br /> <br />M::ti'~'i~'~;::~:::~Q:~~']j~~ <br /> <br />., ,,' ~~te ~~~7; R~gist. . #, . 029.2- '? <br />...2..... 1__ _ C1ty L1cense Reg1strat1on ~F ~? <br />- - ,2;........................................ <br /> <br />BUILDER <br /> <br />Signature <br /> <br />:::::::; <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />******************************** <br /> <br />(;i;~ompany <br />~ )ystate Cert. or Regi <br />City License Registration <br />********************************* <br /> <br />PLUMRER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION <br /> <br />~..........~~.......................... <br />APPROVED BY ~~ :il!S-R/JA;-...r <br /> <br />rr iBl""'''' -, <br />or ' . <br />...~ J\'lIIk' \ <br />lIlflIR~a; ";1;..' .~ <br />.1 '.tJCI. '\1", .~:;.' , <br />~"t.,;e", ~ . ;~~ -l..f'~:; , <br />~ M" l '__.'..........-~~_".w 1 l j <br /> <br />PERMIT OFFICER. <br />