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<br />Refer .Jo perm i 1 <br />:t ~733 a <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />134 h r ~ Pro pOA1~ Get 6 ~ Ale,1 .T.#1c.. <br />444-1 Allen Roact Ufh~rnjJJ~, Pl <br />At W .' <br />,100 4~ Sfred , <br /> <br />J <br /> <br />33Gt11 <br />PHONE <br /> <br />11;;"'6018 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />Z .L h'J/ FJ... 33541 <br />~r I 1LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.~F <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> ____Sign/Temp. _Sign ---- Move _Demolish <br />PROPOSED USE: vi Single Family _M/F _4F of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool 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 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 />LMECHANICAL <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 <br /> <br />____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER Company <br />State Cert. or Regist. ~ <br />Signature City License Registration iF <br />****************************************** <br /> <br /> <br /> <br />::::::~,?:lti d;~!d!.....~!~~:;~;;;~::;:;;;~;;i~;~ ,/ <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br />~Wv <br /> <br />(' <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. iF <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />