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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER'S NAME <br /> <br />PHONE <br /> <br />OWNER'S ADDRESS <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ____Repair ____Install <br /> <br />____Sign <br /> <br />_Move <br /> <br />____D~olish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____H/F <br /> <br />_* of Units ____M/H <br /> <br />____Connercial <br /> <br />_Indust. <br /> <br />____Swim. Pool ___Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />DESCRIPTION OF WORK: <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 />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />PERMITS REOUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />____ELECTRICAL <br />____MECHAHlCAI. <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 />_PLIIMBING G..4S ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FLOOD ZONE AREA? <br /> <br />.......................................... <br /> <br />YES NO <br /> <br />I' <br /> <br />CONTRACTOR SECTION <br /> <br />BUILDER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />......*.......*************.*.*.********** <br /> <br />Signature <br /> <br />~::~ <br />T: u e~~~D rl <br /> <br />W- COHPANY AP~ f:L&:::r'fzt'--;li;!;/' / <br />State CerL. or RegisL. t; ~ ~es~ ,/ <br />City License Registration tt ~ &./8" <br />*...........................*...*****.**** <br /> <br />PLUMBER <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />..**.**.*..*********.********************* <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />*********.*~*.****...*..*.**...**********. <br /> <br />Signature <br /> <br />2l'.I.mR <br /> <br />Signature _,_ <br /> <br />COMPANY <br />State Cert. or Regist. # <br />City License Registration # <br />***.**.*..******************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />