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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT ~~~ flOkJ ~ (1::--<( <br />ADDRES~ ft(. . CJ#~k :;;e, <br />OWNER_ -{ ~) ~ ~~ __ <br />JOB LOCATION -0'0'3:> (JI9-IL J:J jpJl, <br /> <br />PHONE <br /> <br />C(/{)- ~),;. ~'IL(r; <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL I.D..4~ /tJC;-3-dl- 1";2,7)1 <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />(PI__' fJ -_OJ) '3 3~~s <br /> <br />WORK PROPOSED:____New Construction ._Addition _Alteration _Repair _Install <br /> _Sign/Temp. _Sign _l'love _Demolish <br />PROPOSED USE: ____Single Family _M/F ____f~ of Units __/'III! <br /> _Commercial --':-Indust. _Swim. Pool 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 />COl'frlERCIAL : <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 r:-ORr-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 />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ CfJ ~ /. C}, ()7) <br />, <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtJ1-lBI?'fG <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 />CONTRACTO~ SECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration ~ <br />****************************************** <br /> <br />BmT.DER <br /> <br />Signature <br /> <br />ELECTRICT AN Company -ru //atCt ~ E/ec. !tICa.! 5el-v,te. .t.m, . <br />ML({:;~ State Cert. or Regist. II EIU')OO7t~7 <br />Si!mature / City Liccnse I~c[';istrat:ion II _ ~J, <br />****************************************** <br /> <br />PLmmER Company <br />State Cert. or Rcgist. ~ <br />Signature City License Registration J <br /> <br />MECHANTQAl'/~ t1l~..:::::::*~,,~,;:~,*,~Y2 <br /> <br />State Cert. or Regist. r / <br />Signature . City License Registration <br />****************************************** <br /> <br /> <br />OTHER <br /> <br />Company <br />State Cert. or-Regist. ~ <br />City License Registration r <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY. <br /> <br />PERl-lIT OFFICER. <br />