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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT E, (, z.-A-h c ~ G' €-I 9 U-- <br />ADDRESS Sd i <t. 8p~ +~ ~tr- <br />OWNER 1l1A-hk A--lJ ~, <br />JOB LOCATION QO r R c2.-(J-v.A<l.AA. cb-- 3"J.M LOT <br /> <br />PHONE ? Kd. d.--' C?-/ <br /> <br />SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <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 />._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />. <br />BUILDING SIZE: <br /> <br />; <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 /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Gorp. <br /> <br />_W.R.E.C. <br /> <br />I <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: _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 />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />" <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />*********************~******************** <br /> <br />PLUMBER <br /> <br />t, <br /> <br />. <br /> <br />Signature <br /> <br /> <br />Company f~KS A{(..,~H~~/UI' <br />State Cert. or Regist. #~ ~~ () <br />City License Registration # <br />****************************************** <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~**********~************************ <br /> <br />O~...A~ ,z/)~h~) <br /> <br />PERMIT OFFICER. <br />