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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />-/ ~:') .';.t- <br /> <br />F" <br />I /1 <br /> <br />/ <br /> <br />l <br />,,' <br /> <br />r <br /> <br />i ADDRESS <br />/" <br /> <br />PHONE . <br /> <br />OWNER <br /> <br />f ,'~ <br /> <br />to, <br /> <br />,/' <br /> <br />. ' <br /> <br />JOB LOCATION <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.# <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> ____Sign/Temp, ____Sign - Move ____Demolish <br />PROPOSED USE: ____Single Family _M/F _l~ of Uni ts ._M/H <br /> 7' <br /> _Commercial _Indust. ____Swim. Pool ! r Other <br /> " <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, .<~ <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 />V-;UILDING <br /> <br />$ d t7?:> . crV <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 <br /> <br />~Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <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 />OTHER (J'L.-..I"v1 /JA _ Company <br />. State Cert. or Regist: # <br />Signatur~"'7.L .? ~~ ~1tJ ,fA.......... City License RegistratioTl'tF '"". . <br /> <br /> <br />APPLICATION APPROVED BY ~~::~..~~~:;******.**..*.**.**" ;ERM;T OFFICER. <br />