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<br />APPLICANT <br />ADDRESS 3! ( ( <br /> <br />OWNER ~~ 0..voQ- <br /> <br />JOB LOCATION Sc:;,O? /yrtr~J;I- <br /> <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE <br /> <br />7~2--3319 <br />, <br /> <br />LOT SIZE X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D. 4~ <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 />~/F <br /> <br />_4t 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 />_~TRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service 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 />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />***************************/1*:*,,********** ~_. <br /> <br />ELECTRTCTAN Company ~ ~r!- <br />.----;- ~ State Cert. or Regist. 4; <br />Silffiature / tf7/ City License Registration 4t I..!S ~ <br />r ******************************************' <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration 4~ <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature CitYL~cense Registration # <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />