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<br />APPLICAtION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />JOB LOCATION <br /> <br />~N~\-.~ ,,^~LOv.c <br />:5'6\4. 2~tJ~. Z~h\,\~~ <br />~~ <br />~~ <br /> <br />PHONE <br /> <br />"1~'"'G -. ~4<5 \ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />'. <br /> <br />OWNER <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. 4t <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />____Move ---->>e~oli5h <br /> <br />--H/F <br /> <br />_4F of Units ,.---J1/H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />_Swim. Pool Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.*. <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />pERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />_W.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />. <br />____PLUMBING <br /> <br />GAS <br /> <br />x <br /> <br />, <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />.... . <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br /> <br />****************************************** <br />~ONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************.* <br /> <br /> <br />Signature <br /> <br />/ <br />/ <br /> <br />/ <br /> <br />/ <br />/ <br /> <br />" <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />::::~.:: AN <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4~ <br />****************************************** <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 4~ <br />****************************************** <br /> <br />Company ~~ ~"4,\N <br />State Cert. or Regist. # k~':s\nl(a~ <br />City License Regis~ration # <br /> <br />OTHER ~l>- <br />Signature ~(; )-; <br /> <br />****************************************** <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />