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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICAN~D~~ -r~ ~f~~l''y ~ <br />ADJ.1RESS ./ D q~ X- 01 . ~ PHONE~ rE~d-~3~ <br />...OWNER ~ltx::lL.B\b~ lJ'l 'DEL> <br />JOB LOCATION --r;t.4?- aafJOl;?llb-O <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 1. D. # <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration <br />____Sign/Temp. LSign <br /> <br />____Repair <br /> <br />LInstall <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~ommercial <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />.____M/ H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BU,ILDING 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 />~DING <br />VELECTRICAL <br />____MECHANICAL <br /> <br />cP'> <br />$ ~I~'~ , Valuation of Total Construction <br /> <br />AMP Service <br />~ 3l~~f;fJ <br /> <br />Florida Power Corp, <br /> <br />_W.R.E.C. <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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4~ <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 />MECHANICAL <br /> <br />Signature <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 />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />~~**********~************************* <br />. d - .//UJ);1} <br /> <br />PERMIT OFFICER, <br />