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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT ~ FJJ:zt./!-u:" <br /> <br />ADDRESS i1~}l ;,0 FJ (L&" m- <br />OWNER ___I ~~ <br />JOB LOC~TION SP/&O ~J" ~. <br /> <br />PHONE <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 ____# of Units .____M/ H <br /> ,/., <br /> V Commercial ____Indust. ____Swim, Pool 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 FOR.'1S,** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br />~ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLllMBING <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 />*********************u******************** <br /> <br />CONTRACTOn SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration if <br /> <br />F.1.F.CTRICTAN~~' ~:.....:::::::..~~~~- <br /> <br />~ . ~- Stat€~ Cert. or Regist. # <br />Signature / "'7 L City License Registration ,; ,">.9' <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />CompulY <br />State Cert. or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br /> <br />Signature <br /> <br />if <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />