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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />, ~~ () ? rT /('/ AA:f t;.. it!);J. <br />,?yp Jr,?:3 <br /> <br />J y U CdA/C L /7+(;, $/ldcJ/v/l y <br />7~:.ff.',r--~?~/ 9 ~'~'-rE <br />~~/ ,/~/Z. ,f).:J <br />JOB LOCATION ,r:?? 9 j/,? 9'" / <br /> <br />A,PLICANT <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />OWNER <br /> <br />". <br /> <br />~Yz(rf"S: LOT SIZE~Y V~~ AREA SQ.FT. <br /> <br />LEGAL DESCRIPTION:, LOT (s) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.ff <br />WORK PROPOSED:~New Construction ----Addition <br /> <br />_Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ~Single Family <br /> <br />~/F <br /> <br />_ttof Units <br /> <br />.._M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim., Pool <br /> <br />Other <br /> <br />_Restaurant & Health, Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-iS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />CdNc/2 ele <br />~/2/t;e <br />_BUILDING <br /> <br />PERMITS RF.OUESTED <br /> <br />$ ~,{J 0 () , tJ6 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AHP 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 />.1, <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. . . <br /> <br />******************************************. <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City Licens~ Registration ff <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. ff <br />City Licens~ Registration 0 <br />****************************************** <br /> <br />Signature <br /> <br />Company . <br />State Cert. lor Regist. 4! <br />City License Registration # <br />****************************************** <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 />OTHER J:; r:? c C1."I"'J<:: /L- e Ie ~J' ()/lJ.,L Y Company , <br />__ / .:- State Cert. or Regist. tF / <br />Signature ~~~ ~//~f7" City License Registration iF <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PEfu'HT OFFICER. <br />