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<br />APPLI'CATION 'FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT f-- /~~ V~~,2,.~ <br /> <br />ADDRESS (..r/ 33;2~. P ~~ . ..v-- <br />v <br /> <br />PHONE <br /> <br />OWNER <br /> <br />~~~ <br /> <br />J 0 D LO CA TI 0 N .4.--4<'/l--rL52.._ <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. f~ <br /> <br />BLOCK <br /> <br />,.--. <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction____Addition ____Alteration <br /> <br />v- <br />__Repair <br /> <br />____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />__~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____# of Units <br /> <br />_____H / II <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />____Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />Height <br /> <br />BUILDING SIZE: <br /> <br />~-x.- <br /> <br />Square Fee t, <br /> <br />RESIDENTIAL: <br />CmfrlERCIAL : <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 FORl-IS. ** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />pERMITS REQUESTED <br /> <br />~BUILDING <br /> <br />$ ~o- tV. c~. Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />____MECHANICAL <br /> <br />$ <br /> <br />~ .-:-N~\:latiQ!~:_5~~e clla n i c a 1 <br />/(~ ;>" <br />GAS ~. E?~ RO~ <br /> <br />Installation <br /> <br />_PLUMBIN"G <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 />Company <br />State Cert. or Regist. 0 <br />City License Rcg'istratinn t~ <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration U <br />****************************************** <br /> <br />Sipnature <br /> <br />Company <br />State Cert. or.Regist. !~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />,City License Registration 0 <br />****************************************** <br /> <br />MECHANICAT" <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED nY:~;::~'*~::;:;:'~'*":'*'********* PO~IIT OFFICOR. <br /> <br />""ii-., <br />