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<br />JOB LOCATION <br /> <br /> <br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />UJ~ <br />S-73 - <br /> <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. iF <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair <br /> <br />~ <br />____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_l'love <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____iF of Units <br /> <br />_____H I H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />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 & (l) SET ENERGY FOID-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 />$ <br /> <br />AMP Service <br /> <br />111~ <br /> <br />Florida Power Corp. <br /> <br />_\-l.R.E.C. <br /> <br />_ELECTRICAL <br />~ECHANICAL <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: <br /> <br />FT. <br /> <br />~~~ <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 />ETFCTR1CIAN <br /> <br />Company <br />State Cert. or Regisc. # <br />City License Registration # <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. " <br />City License Registration 1 <br /> <br />PLL'MBF.R <br /> <br />Signature <br /> <br />****************************************** <br /> <br />MECHANTCA:-:2J. ~ Company ~~,.).w. <br />Signature ~~~***.*,;~*.;~~~:;.~;;;~::;:;;;~;;~~;~'~C~S-~~~ <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*~~~***~**;JL**~~***~~~~~~~~~~~~~~**~~*~ <br />....~... ~_................,............... <br /> <br /> <br />G <br /> <br />PERMIT OFFICER. <br />