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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />'5a.hr's Pfopa..ne <br />4441 Allen Rct <br />Ar lwe. M ~ L.a ltt I in <br />JOB LOCATION Sf( d ~ Cran rDO k <br /> <br />Gtts " kfC1 <br />~rhl Jls <br /> <br />PHONE <br /> <br />'If;< - GO /3 <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />lO - "h .... ~ I.... 0000 ... OD LO 0 .... QOo() <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br /> <br />WORK PROPOSED:_New Construction ____Addition ____Alteration <br /> <br />_Repair <br /> <br />~nstal1 <br /> <br />7Sign/Temp. <br />PROPOSED USE: ____Single Family <br /> <br />_Sign <br /> <br />_Move <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />____~F 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: <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.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR}lS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />\(oIO.OD <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />VMECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.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 ____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 />S hma ture <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRTCTAN <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 /> <br />Company B~r'6 <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br />Gas. ~ k/~ <br />CAC.04 3tf"'fB <br />1~ 'TK <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # _ <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />