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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />~ ~ ... <br /> <br />APPLICANT <br /> <br />G' J1/X'I <br /> <br />r< J CAvw/)--! <br />;:J;::{ .z -t2 P N iF<. Hlt..t.. ~. <br /> <br />35.7"3'/ PHONE <br /> <br />9' ') '1 q 'J.. "/ 6 <br /> <br />ADDRESS <br /> <br />t7~/ SO/V/1/V <br />r <br />OWNER J.? I j., I-. )1/ >' -e _ <br /> <br />JOn LOCATION?'-/6 (? r::vLL I?J...V)) <br /> <br />UJvrT F <br />. <br /> <br />LOT SIZE"':"""-X <br /> <br />AREA SQ. FT. <br /> <br />/1 - d- 6 <br /> <br />/d) <br /> <br />SUBDIVISION <br /> <br />?f~ ;) <br /> <br />PARCEL 1. D .l~ <br /> <br />,'J/ <br /> <br />ULOCK <br />IJU <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />WORK PROPOSED:_New Construction_Addition <br /> <br />_Alteration <br /> <br />/ ;.-/ .s --y <br />"<I <br />_Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_1'love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_l~ of Uni ts <br /> <br />._~I/II <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t I <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COmlERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF DUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF DUILDING PLANS & (1) SET ENERGY FOIU1S.'~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMTTS REOUESTED <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 />~LU1-1BIN"G <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <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 Rcr,istl'ation ;,~ <br />****************************************** <br /> <br />mn LD ER <br /> <br />ELECTRTCTAN Company <br />State Cert. or Regist. 0 <br />SipnBture City License Registration n <br />*********************************~******** <br /> <br />P.!.l]J1BER ~:; Company C . <br />~' ~ State Cert. or ReGi .!.~ " <br />Si "na ture . ~.... ~**........ ~ ~:~ * ;;~~:~~: ,,:: ~~~;, ~:~;, ;,~~ " <br /> <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />,City License Registration {~ <br />****************************************** <br /> <br />MECHAN1CAL <br /> <br />Signature <br /> <br />Comvany <br />State Cert. or Rcgist. 0 <br />City License Registration ~~ <br /> <br />DTHER <br /> <br />APPLl CA TION APPROVED BY. *7"''* :;**~::*~:::,: **:' * 'd, e, * *', '" '" PER}lIT OFFl CER . <br /> <br />*'" <br />