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<br />. . . <br /> <br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />\h<- {- 0- %~~J~~~ <br />~331 G-O-~ d <br />~ O~Q..\ rS J r t0C.. . <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />Z'N'\\\~ PHONEJ30~\J S~'\-~9'1?- <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT S1-ZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br />WORK PROPOSED:~New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />~commercial <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />____M/H <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />., <br /> <br />u~Kestaurant & 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 />____BUILDING <br /> <br />~ELECTRICAL <br />..1 <br />~MECHANICAL <br /> <br />~PLUMBING <br /> <br />$ <br /> <br />PERMITS REOUESTED <br />l\~, 000. C)C) Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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. # <br />, License Registration # <br />****************************************** <br /> <br />Signat <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # j 7 "? <br />************************************** <br /> <br />Company ~~ '> '^" \E...'i:t-' ~ \L.l\\.o\.~ ~ <br />State Cert. Regist. # cr=~~ z..-.99 y <br />City License Registration # <br />******************************** <br /> <br />Signature <br /> <br />Company 5 C cV A/ 'f s; 6 i 5 Cc u ;z.' --; Jt f' f /,J ~ J>t/ <br />State Cert. or Regist. # <br />City License Registration ;~ ' 7f.::-..... <br />************************************ <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 />