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<br />OWNER <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br />/' <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br />\ ~ <br />LOT SIZE 6/ X ~ 0 AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. # ,19--t, <br /> <br />,~ / - I'~ -r7 - ~ '1 <br /> <br />WORK PROPOSED: ~New Construction ~ddition ----Alteration ----Repair ____Install <br /> <br /> ____Sign/Temp. ____Sign _Move ____Demolish <br />PROPOSED USE: ____Single Family ____M/F ____4t of Units ~M/H <br /> ____Commercial ____Indust. ____Swim. Pool Other <br /> ____Restaurant & Health Department Approval <br />BUILDING SIZE: X Square Fee t , Height <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br /> **COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />/. <br />V/BUILDING <br /> <br />$ ~ 3" d · &'t> <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 />ELF.CTRICIAN <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />C' License Registration # <br />****************************** <br /> <br />Signature <br /> <br />Si2Ilature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />CumpailY <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 />OTllER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />*~***********~********************* <br />dAA.Al~~ _ ~ <br /> <br />PERMIT OFFICER. <br />