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<br />APPLICANT <br /> <br /> <br />APPLICATION FOR PERl'lIT <br />CITY OF ZEPHYRHILLS <br />BUILDIN DEPARTMENT <br /> <br />/ (~'; "- <br />/ ~~:,c6 <br /> <br /><~r?'O 6 <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />~~e <br />::>~~ ~ <br />LEGAL DESCRIPTION: LOT(S) J~I <br />PARCEL LD.iI 1\ ~ '1 i L <br />WORK PROPOSED:~New Construction <br /> <br />OWNER <br /> <br />LOT SIZE 5"0 x.1J;./JAREA SQ. FT .1 ~ -CD <br />BLOCK () Ll SUBDIVISIONJ.1 {Yf-"'1..J3.<J a-ck.:C <br />-PJ;j }~19 <br /> <br />JOB LOCATION <br /> <br />____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />,~/H <br /> <br />Other <br /> <br />TJ (I <br />'7 <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />< ':,1 <br />5 <br /> <br />BUILDING <br /> <br />____Restaurant & <br />ht hIli) <br />SIZE: ~~, <br /> <br />Health Department Approval <br /> <br />~! ,~' <br /> <br />Square Feet, <br /> <br />~?x <br /> <br />I) .~~, <br /> <br />Height ,...- <br />I' <br /> <br />., <br /> <br />.f <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & :2) SETS OF BUILDING PLANS & (1) SET ENERGY FO~~S.** <br />ATTACH (3) SETS OF BUILDjNG PLANS & (1) SET ENERGY FO~~S.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />lBUILDING <br />____ELECTRICAL <br /> <br />$ <br /> <br />S(J1) <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />, . <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />TYPE OF CONSTRUCTION~ ____Block <br /> <br />ROOFING <br />,~_Frame ~_Steel <br /> <br />SPECIALTY <br /> <br />____PLl~BING GAS <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />*************k********~******************* <br /> <br />QJNTRACTOR 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 />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />-************************ <br /> <br />PERMIT OFFICER. <br />