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<br />APPLICATION FOR PER~IT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~ ~ fLili l : '- fi f!,lJo ~a ~ ( <br />ADDRESS ~8 .3:)~ S 1-' A.(.M\.U... . L' ~ \ \ S <br /> <br />PHONE <br /> <br />'l8a-~ JSS8 <br /> <br />OWNER <br /> <br />JOB LOCATION So..lML--- <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 /> ____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 FOR~S,~~: <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />'!1 <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 />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ElECTRICIAN <br /> <br />Company <br />State Cert, or Regist, # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, IF <br />City License Registration # <br />****************************************** <br /> <br />co:~:a~e~~i~';;~ C"'<-<-~ <br /> <br />City License Registration lJ: _ifd-., <br /> <br />MECHANICAL <br /> <br />****************************************** <br /> <br />APPLICATION <br /> <br />PERNIT OFFICER. <br />