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<br />APPLICATION FOR PER!"lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT \ 0()\ ~~~ <br />ADDRESS 3<=>t ~c:::f'6 <br />OWNER -50mG <br /> <br />"-~~~ <br />~ D\2Jl <br /> <br />PHONE (~ <br /> <br />(~~, <br /> <br />JOB LOCATION ~Dr<'\C::: <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.# <br /> <br />1';).- ~ tp -;:".L I - rD3 0 - ODl.r,C:O - 0,0 I 0 <br /> <br />WORK PROPOSED:_New Construction lC-Addition _Alteration _Repair _Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />_Nove <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 />) <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUJLDlNG SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR.'1S. ,,,', <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 />7J..tl ~ <br /> <br />. Valuation of Total Construction <br /> <br />_ELECTRICAL <br />_ME~HANICAL <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 />_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 /> <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />411 <br /> <br />Sianature <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />ElECTRICIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************t-******************* <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 Reglstration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />