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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLlCANTTYli2,S .~'tI 0/ZI'UU<- <br />ADDRESS ~ j (J /8' 'S--r:- <br />O~ER ~C;~~ <br /> <br />JOB LOCATION <;;: I9-rn E- <br /> <br />PHONE '7S"?('- G~ be; <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.~t //- d.(P-;( 1- (90/0 <br />, <br /> <br />BLOCK <br /> <br />SUBDIVISION <br />IJ;;lO V' <br /> <br />o~l70 7J <br /> <br />WORK PROPOSED:____New Construction ----Addition ----Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_Move <br /> <br />~emolish <br /> <br />PROPOSED USE: __Single Family <br /> <br />_M/F <br /> <br />_~t 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 FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.**- <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />__BUILDING <br />~ECTRICAL <br />~CHANICAL <br /> <br />Valuation of Total Construction <br /> <br />~orida 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 />BUILDER Company <br />State Cert. or Regist. # <br />Signature City License Registration # <br /> <br /> <br />:::::::::AN ~I ~~................:::::::.. .............. <br /> <br />State Cert. or Regist. # <br />. City License Reg1strat1on # <br />****************************************** <br /> <br /> <br /> <br />~ <br /> <br />, . <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Signatur <br /> <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration <br />****************************************** <br /> <br /> <br />~ <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />... <br />