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<br />APPLICATION FOR PERMIT <br />CITY OPZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~l' 0f/o!/1 . <br />ADDRESS ,?lQ3 ~,c;1:Y i}a// <br />OWNER /!/,,/fN ~~~i/VCE"R <br />JOB LOCATION ,-:2;1/ $~~c A 27- <br /> <br />& <br /> <br />PHONE ?" /'eJ 6'...P? 7 <br /> <br />LOT SIZE ?t> X lit AREA SQ. FT. <br />, .. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />-7 <br />-J <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D, ~F <br /> <br />l.< -olt -,~ / <br />,. <br /> <br />oo~.R <br /> <br />/? t), 00 <br /> <br />no3,D <br /> <br />WORK PROPOSED:____New Construction ~ddition ----Alteration ____Repair ____Install <br />____Sign/Temp. ____Sign ____Move ____Demolish <br /> <br />PROPOSED USE: ~Single Family <br />____Commercial. <br /> <br />~/F <br /> <br />____~~ of Uni ts <br /> <br />.-M/H <br /> <br />____Indust, <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />. <br /> <br />f' I X :If ~l ,~ Square Feet, CjttJd / ~uel Height <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. ' <br /> <br />BUILDING SIZE: <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />____BUILDING <br /> <br />PERMITS REOUESTED <br />~ J7~~ Valuation of Total Construction <br /> <br />$ <br /> <br />____ELECTRICAL <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 />____PLUMB I N"G <br /> <br />.... <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />~,V(PFTE .Other <br />. <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />/P C /"IJ _ ...,/.(/ CONTRACTOR SECTI..QN/,' ':) I / / <br />BUlLDER (-:1#1(/ c \. -4t;/ut" b Company ft1~J//tI //q/ /d6-R <br />Jtt 0 ~ - State Cert. or Regist. IF t'"fC O~I y// <br />Signature 'If (" / ~A'.-.;f!// City License Registration ~F ~[:g <br />****************************************** <br /> <br />SiQ:nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />ET.ECTRTCTAN <br /> <br />Company <br />State Cert. or R~gist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAL <br /> <br />Company <br />State Cert, or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br /> <br />... <br /> <br />... <br />