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<br />". <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />PI CAr k <br /> <br />kr50~ <br /> <br />OWNER <br /> <br />5LJ II <br />p I~(,K <br /> <br />, Q.("\de.r ;lIvt.. <br />)......a..rs Cf\ <br /> <br />6" <br /> <br />PHONE <br /> <br />.'B;).-.Q?J-Q2 <br /> <br />ADDRESS <br /> <br />JOB LOCATION <br /> <br />51.111 <br /> <br />~ <br />}Ol V...~eCif'-l2.. <br /> <br />~"" <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~t <br /> <br />WORK PROPOSED:____New Construction <br /> <br />~ddition -Alteration <br /> <br />_Repair <br /> <br />_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 />_4t 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: ; J.. X ;(0 . <br /> <br />~1JO <br /> <br />Square Feet, <br /> <br />RF+ <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 />'f BUILDING <br />-1-ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service 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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 4F <br />City License Registration 4F <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />F.T.F.CTRICIAN <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration 4F <br />****************************************** <br /> <br />Silm.ature <br /> <br />Signature <br /> <br />Compimy <br />State Cert. or Regist. 4F <br />City License Registration 4F <br />****************************************** <br /> <br />PLlJMRER <br /> <br />Company <br />State Cert. or Regist. 4F <br />City License Registration # <br />****************************************** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4F <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~*******~**************************** <br />ALl'C] oMw- <br /> <br />PERMIT OFFICER. <br />