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<br />APPLICATION FOR PERKlT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />LOT <br />OWNER · S NAME <br /> <br />GILLmORE- <br />LOT ~ ~ E Y)\e..('~\J, <br />~<..J <br /> <br />PHONE <br /> <br />OWNER · S ADDRESS <br /> <br />Pt:l\ n -\- G <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />~lo <br /> <br />BWCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1.D.# <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~epair ____Install <br /> <br />____S ign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />~/F <br /> <br />_, of Units ____M/H <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swia. 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) PWT 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 />~ELEC'fRlGAL <br /> <br />100 <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 />____PLUMBING <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Fr8JIe ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: <br /> <br />FT. <br /> <br />IS PROJECT IN FWOD ZONE AREA? <br /> <br />YES NO <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br /> <br />COMPANY <br />State Cert. or Regist. I <br />City License Registration , <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::::~7$pp <br /> <br />. <br /> <br />COMPANY-,( t:2u a~ r etIf <br />State Cert. or Regist. "f:.-S OOOct!:> 'i <br />City License Registration" ) g 7 <br />****************************************** <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. I <br />Signature City License Registration # <br />****************************************** <br /> <br />MECHANICAL COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration # <br />***********~****************************** <br /> <br />OTHER COMPANY <br />State Cert. or Regist. # <br />Signature City License Registration , <br />****************************************** <br /> <br />APPLICATION APPROVED BY PERMIT OFFICER. <br />