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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br />PHONE 7J/2-:SY#-S-- <br /> <br />ADDRESS <br /> <br />OWNER <br />JOB LOCATIONJFtcO{P-J <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. # <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 />_~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. H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />_BUILDING $ /;JsU <br /> ( <br />____ELECTRICAL AMP <br />_MECHANICAL $ <br />____PLUMBING GAS <br /> <br />PERMITS REOUESTED <br /> <br />-' <br /> <br />Valuation of Total Construction <br /> <br />Service <br /> <br />Florida Power Corp. <br /> <br />_W,R,E.C, <br /> <br />Valuation of Mechanical Installation <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />____Frame ____Steel <br /> <br />_Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT, <br /> <br />Signature <br /> <br /> <br />***************************** <br />~ONTRACTP~ S~CT~ ~ <br />. Company <br />State Cert. or - ';-gist.' II @ <br />City License Registration # <br />******************************** <br /> <br />ELECTRTCT AN Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert, or Regist. # <br />Signature City License Registration iF <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration ~F <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration 4F <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER, <br /> <br />