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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT y~ .:s~ r <br /> <br />::::55 ~.~~~ \ t: ~~~~;~ 7 <br />"I (\ v _ t <br />JOB LOCATION '3 (f\ta 5 , \\{)('''t.-h ~. <br /> <br />PHONE ~-::! D <br />jJU)vr-e- ftlG- / M'''-R~r!er <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />0'2 - 2&- Z-/ <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />O{)8D~ 00/00"- OIz.O <br /> <br />WORK PROPOSED:____New Construction _Addition ____Alteration _Repair _Install <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F ____IF of Units _____M / H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />, <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 FO~~S.*e: <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 />_MECHANICAL <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 />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRTCTAN <br /> <br />Company <br />S ta te . C~rt ',' 0,1' Regis t. ;~ <br />City License Registration # <br />***********************~****************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration # <br />**********************ft******************* <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />OT~f~ ~o~ l~ <br /> <br />Signature <br /> <br />Company \., <br />State Cert. or Regist. # <br />City License Registration 1 <br />*****************************************~ . <br /> <br />Company ----po...J. ~<:.h~ KQ~~ .~ <br /> <br />State Cert. or Regist. ;; Itbw 7 <br />City License Registration if $::-l./.;1. <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERt-lIT OFFICER. <br /> <br />\ <br />