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<br />ADDRESS <br /> <br /> <br />.- <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILD~fG DEPARTMENT <br /> <br />'I <br />E l.~(~~~l~Y' <br /> <br />APPLICANT <br /> <br />OWNER <br /> <br />Jon LOCATION "--- <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 I.D.f~ <br />WORK PROPOSED:_New Construction~Addition _Alteration ____-Repair ~lnstall <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />__l'love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_~~ of Units <br /> <br />__HI H <br /> <br />____Commercial <br /> <br />--'-':"'-1 nd us t . <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fce t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />CmmERCIAL : <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 FORI'IS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br />-K-ELECTRICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />/ s d AMP Service <br /> <br />~ Florida Pmver Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBIN"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 />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />. State Cert. or Regist. 0 <br />City License Registration ~~ <br />****************************************** <br /> <br />rHnLDER <br /> <br />Si!!nature <br /> <br />Company 0 W j1) f:..K' <br />State Cert. or Regist. 0 <br />City License Registration n <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or .Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLmmER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />.City License Registration ~~ <br />****************************************** <br /> <br />HECHAN1CAL <br /> <br />.oTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY <br /> <br />~ ~~.'* tlJ.,J.;.....;._..J..._.._....._.,J.... <br />..ft ft' ~. ft ........................ <br /> <br />~ <br />.. ~ <br /> <br />PERl-lIT OFFICER. <br /> <br />--"Ill. <br />