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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME J; fYl C' S C f; f- G h, e IS" (Yf\ <br />OWNER'S ADDRESS 3 Y'1 Y leu ~r/' )'-{ <br />2 cv'rvl/( k' t r5 i fA/A- I <br />I : . <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PHONE <br /> <br />JOB ADDRESS <br /> <br />,- <br />(::: <br />~ "")> ~'i 0 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. , <br />WORK PROPOSED: <br /> <br />New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />_Sign <br /> <br />Move <br /> <br />_Demolish <br /> <br />PROPOSED USE: Single Family <br /> <br />____M/F ____' of Units <br /> <br />_M/H <br />,,4 U/ 1/ ,I ~ .j Other <br /> <br />Co_ercial <br /> <br />____Indust. Swim. Pool <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ?J (J X--L' <br /> <br />~io <br /> <br />Square Feet, ~ <br /> <br />'?' I' Height <br /> <br />RESIDENTIAL: ATTACH (2), PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <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 GAS ROOFING <br /> <br />SPECIALTY <br />II-Io!l in un. Other <br /> <br />TYPE OF CONSTRUCTION: Block Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER 4 COMPANY I 0 <br />~11 /~ State Cert. or Regist. <br />Signature l 7f~ Ci ty License Registration # <br />****************************************** <br /> <br /> <br />ELECTRICIAN <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** ~ <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />. ~ ~ .. - ~ <br /> <br />OTHER <br /> <br />COMPANY <br />State Cert. or Regist. I. <br />City License Registration I <br />****************************************** <br /> <br />1" .....__ <br /> <br />Signature <br /> <br />o. .. <br />'?' <br /> <br />" ' <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />