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<br />I' <br /> <br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />PHONE 813- '1 ~ .~g'1 <br /> <br />LOT SIZE~~ AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D. ~F <br /> <br />WORK PROPOSED:_New Construction _Addition _Alteration _Repair _Ins tall <br /> _Sign/Temp. _Sign _Move _Demolish <br />PROPOSED USE: _Single Family _M/F _~F of Units .--X-M / H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />! <br /> <br />_Restaurant & Health Department Approval <br /> <br />BuiLDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Heighr <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOR~S. ,c:: <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />",If <br />_MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.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 <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />BUILDER SuloJl.,"sE ~o~ Company Sua) ..:r.5 ~~:I\' <br />I /~ State Cert. or Regist. # <br />Signature I~ City License Registration jF <br />****************************************** <br /> <br />-3/7 <br /> <br />,// <br /> <br />ET.ECTRTCT AN '1tlb...ro~ Company "'frlo~to.... SIc. <br />~ State Cert. or Regist. # <br />Signature~ ~~ City License Registration IF <br />, ****************************************** <br /> <br />./" <br /> <br />.J...~~ <br /> <br />PLUMBER S.... ~.~ Company SLJ6ool~:~ f{O\)s.a^, <br />State Cert. or Regist. # <br />Signature City License Registration 'F <br />**********************~******************* <br /> <br />~/, <br /> <br />/ <br /> <br />MECHANICAT~~IR..J a/,".aTE Company ~EW C.t'-trlll'" t201J1-Ao I <br />t9I- ~ State Cert. or Regist. ~,! , <br />Signatur ~~ City License Registration IF J if:L '1 <br />, I. ****************************************** " <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 />PER~IT OFFICER. <br />