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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />~r Ho)J{J/L N~l thmL <br />3~z'?D I~A II ~. .. PHONE <br />OWNER flitj rJt ~f0'L!S <br />JOB LOCATION 3fl1o " II ~. <br /> <br />APPLICANT <br /> <br />'. <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LO~(S) <br />St~ (l.Jhu;hltA <br /> <br />BLOCK <br />>Mff A- <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:_New Construction ____Addition <br /> <br />____Alteration <br /> <br />v/J:epair <br /> <br />____Ins tall <br /> <br />PARCEL I.D.~~ <br /> <br />_Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />~/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 />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 & (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, Corp. <br /> <br />_W.R.E.C. <br /> <br />GAS <br /> <br />~al~ion of Mechanical Installation <br />vi ROOFING SPECIALTY <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />. <br />_PLUMBING <br /> <br />.r. <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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist, ff <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />Company <br />State Cert. oi Regis~. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 11 <br />****************************************** <br /> <br />. PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 11 <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAT. <br /> <br />Signature <br /> <br />Company Vre,wticr .$ijN1CO~ }(};~IJne. <br />State Cert. or Regist. 41 0/& <br />City License Registration 1~ ,1)8 <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />