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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT If} R -S <br />ADDRESS 59 ~ tf <br />OWNER (} R I<. L fl /IJ ci <br /> <br />(!/f,RL . D. LJli?/'A)~(JTT.:r;e. , <br />) If r II s-r PHONE 7-R'P - / t) d ) <br />R I!. LEN C' . L" of) f) j AJ L() rT I .:J/z.. <br />. . , I . " <br /> <br />Jon LOCATION 59 (l if/If III- .$/ . LOT SIZE'&-X Il//J AREA SQ. FT. <br />LEG~L DESCRIPTION: LOT(S~/&/~-I'I-/F'{l~ #0 SUBDIVISION Cl"7 ()~ 2 '/-/1 L L..s <br />PARCEL I.D.t~ 1/ - ale - a) --do /0 -OJ.}006 <br /> <br />b17l) <br /> <br />WORK PROPOSED:____New Construction____Addition ____Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />____Sign <br /> <br />__l'love <br /> <br />_Demolish <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />_Swim. Pool <br /> <br />__l'l/H <br />Sr!~;p) /(A6t1'Other <br /> <br />____M/F <br /> <br />_t~ of Units <br /> <br />____Restaurant & Health Department Approval <br />BUILDING SIZE: J/)' Ie. X J J I ~ q J . . LJ <br /> <br />Square Fee t, <br /> <br />. <br /> <br />I.- J ~ rl> ? i <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMl'IERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />---- <br />____BUILDING <br /> <br />~D <br />$ '-tOt>- <br /> <br />_ELECTRICAL <br />'=:::'-MECHANICAL <br />::=::"-PLUMBIN"G <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~ Florida pO\oJcr Corp. <br /> <br />.li:-H.R.E.C. <br /> <br />$ <br /> <br />1Y <br /> <br />Valuation of Mechanical Installation <br /> <br />-IJ-' <br /> <br />GAS <br /> <br />", -lJ-- ROOFING <br /> <br />~ SPECIALTY <br />'Sc,eEC)) R~~t{2r <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />-==-Block <br /> <br />~Frame ~Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Rcgist. H <br />City License Registration ~ <br />****************************************** <br /> <br />fiUTLDER <br /> <br />Signature <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. n <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or.Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />PT.UMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />,City License Registration ~~ <br />****************************************** <br /> <br />NECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />****************************************** <br /> <br />PERHIT OFFICER. <br /> <br />APPLICATION APPROVED BY. <br /> <br />........ <br />