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<br />APPLICATION FOR PER1>IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~" ~:C(' <br />ADDRESS 3?~ 01.0 ;} <br /> <br />~~/'..' <br />/J jue' <br /> <br />PHONE <br /> <br />OWNER <br />JOB LOCATION .~I.P~~ <br />LEGAL DESCRIPTION: LOT(S)/;<~~ -- ~ / <br /> <br />LOT SIZE <br /> <br />x <br /> <br />i\F:EA SQ.FT. <br /> <br />BLOCKt7O,<OSUBDIVISION t/(/600- <br /> <br />0.2. ~--O <br /> <br />PARCEL 1. D .lfr <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ~nstall <br /> <br />____Sign/Temp. ____Sign ____Hove _Demolish <br />PROPOSED USE: ~ingle Family ~M/F ____{~ of Units . _____M/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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMNERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOm1S.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY rORHS.H <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 Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />.... . <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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. lj <br />City License Registration ii _ ,:r/J,- <br />*********************************** <br /> <br />Signatur <br /> <br />Sio-nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />El.ECTRICIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ii <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*********~*;~:;::;****************** <br /> <br />~ ,'ol'F,.' <br />. ~. .' , <br />. < I ... " ~ <br /> <br />PERI-lIT OFFICER. <br /> <br />,;',' <br />