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<br />, . <br /> <br />APPLICATION FOR PERI-lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~/~ ~j7v <br />ADDRESS ~ 'I/-e..- <br /> <br />PHONE <br /> <br />OWNER <br /> <br />JOB LOCATION LOT SIZE---2t2.-X '10 AREA SQ. FT. <br />LEGAL DESCRIPTION: LOT (S)/ ~ - . J (j- d/ -.J~ BLOCK) &5 '1' SUBDIVISION <br />PARCEL 1. D. # / / - ;:) (., - ;:L / - 0 tP/ ZJ - / Cl 9' t9 0 - C)....2. 0 U <br /> <br />WORK PROPOSED:____New Construction _Addition _Alteration _Repair $-Install <br /> _sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _~~ of Uni ts ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />~ <br /> <br />_Restaurant & Health Department Approval <br /> <br />BU1LDI:NG SIZE: J!2... X 5? , <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR..'1S.'''': <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />I <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <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 <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. ~t <br />City License Registration 1 <br />** **********~ ",* ** * * ** *.* ~.;;, *.... * It: ** * *;, * ,,:~, *~, ;,,', ,', <br /> <br />PLUMBFR <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />MECHANICAl <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />