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<br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;;C:H~PE(L C'oN5,~~r\ <br />,\~ 5. ~i 9~ \'j)~I)L CA"'I I~\.... PHONE <br />~\N\5 .~~~\-.\~ / ~i ~\\o~~ ~~ <br />I <br />So 'I G~~ -:B)......u> <br /> <br />5<0"1 - <CS~<J <br /> <br />'. <br /> <br />AREA SQ. FT. <br /> <br />LOT SIZE <br /> <br />x <br /> <br />PARCEL I.D.4t <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ----Addition ____Alteration ____Repair ____Install <br /> <br />~emolish <br /> <br />____Sign/Temp. <br /> <br />_Move <br /> <br />_Sign <br /> <br />----HI F <br /> <br />,_M/H <br /> <br />____4t of Uni ts <br /> <br />PROPOSED USE: _Single Family <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />_BUILDING <br /> <br />_ELECTRICAL <br /> <br />_MECHANICAL <br /> <br />____PLUMBING <br /> <br />_Commercial <br /> <br />~Indust:. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <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 />t. 2)~\~ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br />X ROOFING <br /> <br />.#- . <br /> <br />GAS <br /> <br />SPEC:IALTY <br /> <br />Other <br /> <br />TYPE OF CONSTRUCTION: _Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br /> <br />Signature <br /> <br />:::::~::^~ <br /> <br />Signat~re <br /> <br /> <br />****************************************** <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />/ <br />/ <br />./ <br /> <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registration # <br />****************************************** <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** . <br /> <br />OTHER ~~\ ~<>- <br />Signature ~W -=. <br /> <br />Company ~\P- ~~~R-"""~,:,,"\~~ <br />State Cert. or Regist. it Rc...OO~","Co3 <br />City License Registration # ~ <br /> <br />****************************************** <br /> <br />'. <br /> <br />PERMIT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />