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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />11f-))~a <br />3'f ..3X <br />~ <br />~~ <br /> <br />tJ~f.t)~/(40 <br />~ U7lf- I"W 6. <br /> <br />PHONE <br /> <br />~"l <br /> <br />:S63v <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. ~F <br /> <br />tt.( <br /> <br />-2(" <br /> <br />-2f <br /> <br />5a /0 <br /> <br />L1/lo-o <br /> <br />O1J/o <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair VInstal1 WIIIIro/,J<f <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 />_IF of Uni ts <br /> <br />__M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />,10 <br />.. <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUJLDING 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 FOR..I1S. ,,,': <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 />IJ37'~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />.f <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\';.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 />Signature <br /> <br />S'v~ 4cd~:'iU10NT~~~~:n~ECTION <br /> <br />/7 _ State Cert. or Regist. # <br />'tt...- ~ City License Registration if <br />****************************************** <br /> <br />BUILDER <br /> <br />7/ <br /> <br />ELECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 1~ <br />City License Registration ~ <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4 <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 />