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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~C\.~--\-i G Q,. \ \C">\:(\ 0..'-\ . <br />ADDRESS ~~~() C'\,\b. S~ \ 2.<2~~ \(~~\\3 <br />OWNER \\~~~\\~\.~ \ <br />JOB LOCATION' C\,\n- ~ .\Z~ ~Vh\\\sLOT SIZE_X <br />LEGAL DESCRIPTION: LOT(S) 12 I ~ - fJU_/~20BLOCK J36 SUBDIVISION <br /> <br />PHONE 1~~-~ "1~~ <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I. D. IF <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 />____M/F <br /> <br />____# of Units <br /> <br />~swim. Pool_ <br />~ Q,(;)''-.J \.;:; <br />Approval ~ f!-a u N ~ <br /> <br />_____M/ H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />Other <br /> <br />____Restaurant &-Health Department <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 />____ELECTRICAL <br /> <br />$~~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\~.R.E.C. <br /> <br />~MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />____Frame ____Steel <br /> <br />~\ <br /> <br />.Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br />****************************************** <br /> <br />PLUMBER Company <br />State Cert. or Regist. # <br />Signature City License Registration ;F <br />****************************************** <br /> <br />MECHANICAL Company <br />State Cert. or Regist. # <br />Signature City License Registration if <br />****************************************** <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration iJ: <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br />