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<br />APPLICATION FOR PE~IIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />/'Jo re.~ 7 <br />8 L -e -€-.0'" I <br />, <br /> <br />f)n fL Tt: ( 7\ 0 13 (3 11--1 \ <br />JOB LOCATION ",>L ~~P1 J~d LLOW14J <br />LEGAL DESCRIPTION: LOT(S) BLOCK <br /> <br />rz ~ r? HI iLS <br />H' .t:f: <br />cJ f' Cd LO - / <br /> <br />PHONE <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br /># <br />70 ' <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.iF <br /> <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 /> <br />_M/F <br /> <br />_4~ 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 FO~tS.** <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 />_MECHANICAL <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 _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />-~ ****************************************** <br />CONTRACTOR SECTION ~ I L- <br />BUTJ.DER "- IIW ~ V->. ~ - Company II ~. ~V1 }-1 :$ a. <br />, ._ I State Cert. or Regist. if Ktlt7 ",.-; f-I q <br />Signature - \ ~ ~ City License Registration if 2-- <br />****************************************** <br /> <br />S hma ture <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. if <br />City License Registration if <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />