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<br />JOB LOCATION <br /> <br />~~~.,b,.::1 ~M <br />/rf1 /-::. '/ <br /> <br />--- ' <br />t:::4RL +- ~/(J'1L. <br />~c( W~r 26J1t7PJ,,~ <br />.,j- r;: f '6 '11- ~ /t1. ?/f- <br />t 131111, <br /> <br />..)-. ,-, *' <br />i <br /> <br />fJ (t/fI1 <br />. ~ <br /><--- <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />j)/fI(EIIt. <br /> <br />ADDRESS <br /> <br />PHONE <br /> <br />--7C;,/. <br />/ ~ 2- <br />, <br /> <br />~ / >0/ <br /> <br />OWNER <br /> <br />'J- '2-. <br /> <br />LOT SIZE/1f x /'ifO AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D.it I~J - d&- d--/ - J <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />D4et ~ <br /> <br />r12AII~ fJMk~ <br /> <br />lJ-t....:....3 <br /> <br />WORK PROPOSED:~New Construction ____Addition ----Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />____Sign/Temp. <br />PROPOSED USE: ~Sing1e Family <br /> <br />____Sign <br /> <br />_t-Iove <br /> <br />_Demolish <br /> <br />____M/F <br /> <br />_i~ of Units <br /> <br />__H/H <br /> <br />____Commercial <br /> <br />_Indust, <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: 23 x~b , / 2- fl'?" Square Fee t, Height <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl'IS . *-1: <br /> **COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REQUESTED <br /> <br />-LBUILDING <br />V ELECTRICAL <br />~MECHANICAL <br />~LUMBUfG <br /> <br />$ J:Jj if7/D . <br />~{J~ <br />,. .~ I J - -f AMP <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br />f!1/lLu IIt-;~ther <br /> <br />TYPE OF CONSTRUCTION: _Block _.Frame _Steel <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />BtJII.DER ~ <br />Signature ~J #(t//~v?/ <br />, <br /> <br />CQNTRACTQE SECIlr ~.~.. .,d' ~ d, .r> .....--. <br />Company ".h:? JO/l.J.n )A' J ~> -?~ <br />State Cert. or -\.egist. if CBG '-40(>~S- <br />City License Registration if 3/ h <br />****************************************** <br /> <br />Signature <br /> <br />Company Dflnd~en- F~fu~ -4!J. .~ <br /> <br />State Cert. or Regis t. ii _~.3 Cell ~ <br />City License Registration;1 .E"C-J;JoDoO<s <br />*i, ** **** i,* ************** ,,<** ** ,,< -/; ,,< 1: -I: 1: ',<',,< ,': 1: 1: i: ,': ;;J.O :s <br /> <br />#/nn"'~ ~/orl'l h/~Jt c <br />;- <br />h9' <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />ELECTRTCTAN <br /> <br />Sipnature L~ L fJJ~ <br /> <br />. <br /> <br />PLUI1BER <br /> <br />Signature <br /> <br />~4 d~.'~ <br /> <br />Company EXlpf.v7-'YL Ih'~ g~f;'kJn~ k <br />State Cert. or Regist. !,! <2/1- O~lX.S-..s- <br />. City License Registration iF 9 f/ <br /> <br />I1ECHANICAL <br /> <br />*****~******~****~*****~~~**************** <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ff <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />rnp"r-BI.?;j '.T.T f"\..}' I .h ~~. V. .E. D B.Y <br />, ..c'.., .~ .UtA()f """",1 <br />" ",,:- 'f !r) t',~c)~;; ';.," . <br />. ' "~, - ~ ;r~'- ; <br />. J :.- <br /> <br />PERl'IIT OFFICER. <br /> <br />.'-., "--->""'~~' <br />