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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br />.~-- <br />JOB LOCATION <br /> <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE S- ~ 7- -;7 5' L/O <br /> <br />LEGAL DESCRIPTION: LOT (S) & -r 10 r::J <br />. <br /> <br />PARCEL 1.D,# //-2'(;-21 00/0 -~OXVO - ()c.)(;O <br /> <br />LOT SIZE~~.bI.?--f AREA SQ. FT . <br />BLOC~OgrSUBDIVISION <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 />_Indust. <br /> <br />_# of Units ._M/H <br />_Swim. Pool ~M ';.<!/~J Other <br /> <br />PROPOSED USE: _Single Family <br />/commercial <br /> <br />~/F <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 />~MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W,R,E.C, <br /> <br />$ tJ-55':. oD <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ET.ECTRICIAN <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 />MEClfAIiJCAL Company xJ/<".I;:A ~-"- Cj:~~ <br />d &. State Cert, or egist. iF '/J7'A~~~-Jonr)(?r7 <br />Signature . ~ f'/~ City License Registration ~F 5'3/ <br />~ - ****************************************** <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 />Q .t'/\/lJ'v...)"- <br /> <br />PERMIT OFFICER, <br />