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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLIC~~ 1Z1~ (/~ <br /> <br />ADDRESS S I) 0./ ~..$X <br />OWN~~ /(1~ ~~ <br /> <br />JOB -:JCATION5IJO/ t:z:4 k. <br />3, Sj ~ <br />/0 <br /> <br />PHONE <br /> <br />f)~:< - ?,? y ~ <br />. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D . ~F /0000 ~ <br /> <br />LOT SIZE~X /)It? <br />S? SUBDIVISION <br /> <br />AREA SQ. FT . /~ jIJO <br />, <br /> <br />BLOCK <br /> <br />87{) () <br /> <br />b ?... D 3-gg-- <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____# of Units _____M/H <br /> <br />____Swim. Pool 5~p, 5A.fl.) Other <br /> <br /> <br />____Restaurant & Health Department Approval <br /> <br />____M/F <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />( ) " <br />BUILDING SIZE: I/J X '-I , <br />, <br /> <br />Square Fee t, /1"0 ~-/ <br /> <br />BUILDING PLANS & (1) SET <br />(1) SET ENERGY FORMS.** <br /> <br />C'_ I" <br />?L Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF <br />ATTACH (3) SETS OF BUILDING PLANS & <br />**COPY OF CONTRACT REQUIRED, <br /> <br />ENERGY FORMS.** <br /> <br />~ILDING <br /> <br />PERMITS REOUESTED <br /> <br />$ 760.. ~ <br /> <br />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 />____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 /> <br /> <br />SECTION <br />Company <br />tate Cert. or Regist. # <br />City License Registration # <br />********************************* <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />