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<br />r <br /> <br />APPLICATION FOR PERMIT <br />. CITY OFZEPHYRHILLS <br />" /'. BUILDING DEPARIMENT <br /> <br />APPLIGANT$ a~/4L <br /> <br />ADDRESS 3~cgyO ~/7Y <br /> <br /> <br />JOB LOCATION 315~'/O /jp/JY Ytv <br /> <br />.o~ <br /> <br />PHONE 71,~l - 1'1 6' ~ <br />" <br /> <br />OWNER <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.~~ a2-'~"':lI- cJ/~O- OtJOOl) OJ:lO <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration ~~epair <br />(. [_J <br /> <br />____Install <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />_M/F <br /> <br />_~~ of Units <br /> <br />_____HI II <br /> <br />____Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <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 FOFl'IS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />Valuation of Total Construction <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 />____PLlJMB I N"G <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 /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. # <br />City License Regis tra tinn!1 3/ S-' <br />******************************* <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />.City License Registration ~~ <br />****************************************~* <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~~*******************~*****~~*~*~~~~A~~~~ <br /> <br />Yl~ ;jj (I f!~ . .., : ..,..... " <br /> <br />PEFl'lIT OFFICER. <br />