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<br />APPLICATION FOR PERl"lIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />1?tth('.? ProptU'lt tJL6 ~ <br />444' AlU-n Ra. <br />DOl1ttl cl S~LL ..f-fer <br />JOB LOCATION "'df~ PeM' Oa.k'SIM <br /> <br />Ale, Jn~ <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7g;). - SO,:3 <br /> <br />OWNER <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 />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 />____# of Units <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 />BUJLDING 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 FO~~S.** <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 />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />,~ <br />____MEt:HANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.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 ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />~ ::::::~:~ : 9 <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />"""'*"*""":::::::*"*'~~~'(:JC:u,~ ~C~ <br /> <br />~ a State Cert. or Regist. ,! <br />_ City License Registration ;F /57 <br />~~ . ~~ A ~ ~~~~ ~~~~~~~~~~~ <br />h'" * .. ...*..**.*.**..**.**. h......"" ....""""".. <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />**********************t-******************* <br /> <br />BUILDER <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />~ <br /> <br />Signature <br /> <br />~~ <br /> <br />Company ~r'~ PrOptUle GttG ~ A!C-h "J:hc <br />State Cert. or Regist. l? CACo4Bq"l <br />City License Registration ~ <br /> <br />)( MECHANICAl <br /> <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 />