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<br />APPLICATION FOR PERNIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER ~~ ~~ <br /> <br />JOB LOCATION_. ~ ~ S J.:3 - h~ ~ <br /> <br />PHONE 7?7'- cf'tJ 7S <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.;F <br /> <br />WORK PROPOSED: _New Construction _Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign - Move _Demolish <br />PROPOSED USE: --/,.L.S ingl e Family _M/F _IF of Units ._M/H <br /> _Commercial _Indust. _Swim. Pool Other <br /> <br />~ <br />,. <br /> <br />_Restaurant & Health Department Approval <br /> <br />BU1LDING 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 FO~~S.** <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 />V '11 <br />4-MECHANICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_\\i.R.E.C. <br /> <br />$ <br /> <br />t..IPJ;tr: & [) <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 />v-/ <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />******************************~*********** <br /> <br />BUILDER <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />PLUMBER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />**********************ft******************* <br /> <br />Signature <br /> <br /> <br />~ f2.i ~ <br />MECHANI . '.. R kA: Compan . <br />.. . State Cert. or Regist. t <br />Signature. r ~ City License Registration <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />