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<br />APPLICATION POR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />C?t}L/ - !3? 7~ 3D 5u <br /> <br />OWNER <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Hove _Demolish <br />PROPOSED USE: ~ingle Family _M/F _1F of Units ._1"1/ H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />, <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 FOR~S.~': <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS."'* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ .3, 95n'~ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />..' <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />GAS <br /> <br />Valuation of Mechanical Installation <br />1/ ROOFING <br /> <br />SPECIALTY <br /> <br />$ <br /> <br />_PLUMBING <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />****************************************** <br />CON'!'RACTQE SECTTO~cA ~ ./ / '0--- <br />Company ~~~~ <br />State Cert. or Regi~ tJl(!. ({)t75f, 7'-' 3 <br />City License Registration 4F if;). <br />************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRICIAN <br /> <br />Company <br />S~ate Cere. or Regist, if <br />City License Registration # <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration if <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />