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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br /> <br />C f~L <br /> <br />! <br />I ELL/(L .. !1.sS()C- . l.NC, <br />7g:<'-&117 <br /> <br />PHONE <br /> <br />JOB LOCATION <br /> <br />t/ !GrVLJ1WJJ (1 <br />5/ 5/ C; fJlJ.-.- !3A.V <br />\S~11'1YI.L <br />SIf-/fLL <br /> <br />ADDRESS <br /> <br />OWNER <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 I.D.if <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 />____~~ 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 /> <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 />____PLUMBING <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />/ ROOFING SPECIALTY <br /> <br />~ECHANICAL <br /> <br />$ <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVAHONS: FT. <br /> <br />Signature <br /> <br />****************************************** <br />CONTRACTOR SE~Nr <br />Company ,E. > <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br /> <br />BUILDER <br /> <br />Silffiature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRICTAN <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~************************* <br />dA11'~ B~ <br /> <br />PERMIT OFFICER. <br /> <br />""''''~..::........."....,-ry''''''''~,''_f" <br /> <br />.<",-.-c.;',-,-"-' <br /> <br />1 <br /> <br />,."._~ <br />