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<br />APPLICATION FOR PERMIT <br />CITY OF' ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OW:JER <br /> <br /> <br />...r",A?6J T~ <br />, <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D .l~ <br />WORK PROPOSED:_New Construction t.-~~~r~~~ ~c;taU <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 />_It of Units <br /> <br />_N/H <br /> <br />_Commercial <br /> <br />----:.Indus t. <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 />COMNERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS, & (1) SET ENERGY FORNS. ,'n': <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORi-IS.''n': <br />**COPY OF CONTRACT REQUIRED. <br /> <br />_BUILDING <br /> <br />$ <br /> <br />$ PERMITS REOUESTED <br />/ r /';;0 c/O <br />CO Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp, <br /> <br />_\~.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJNBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />Builder <br /> <br /> <br />FLOOR ELEVATIONS: FT. <br /> <br />.................:::::::l~:~ e; ~ <br /> <br /> <br />City License Registration IF tt'A!5tZO/tJt70t...3 <br />****w****************************** <br /> <br />FINISHED <br /> <br />Signatu <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration ~ <br />****************************************** <br /> <br />Plumber <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration U <br />****************************************** <br /> <br />Hechanical <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration lj <br />****************************************** <br /> <br />Other <br /> <br />Company <br /> <br />Signature <br /> <br />City License Registration # <br />****************************************** <br /> <br /> <br />I Hereby certify that I have read and examined this application and know the same to be <br />true and correct. All provisions of law and ordinances governing tllis type of work will be <br />complied with ,,,hether specified herein or not, the granting of a permit. does not presume to <br />uthority t;o violate or cancel the provisions of a}rY) other state or local 1m" <br />sting cOryJr 1 ~io r per rmance of constructi~/o1J / ? . <br /> <br />W!/) ~ / _, ..~._,.. <br /> <br />Signature <br />~-7 <br /> <br /> <br />of Owner <br /> <br />....) r '. I <br />I, / _'\ Date <br /> <br />,... Wot~l'u~fi~.$faf~ ", rJl~d "'~'- <br />My Comrr;f ''OJ C :',': -,. "'i' "'('l . "~3 <br />- . 'I- .}I.. <br />non~!c'~ ~:..,;u-: <br /> <br />, "c. <br />