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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Jon LOCATION <br /> <br />J~f f)jdoJ 0 <br />5D 30 ~,;L .... c;~~. <br />. <br /> <br />01='[[ If- Js /:0;J' <br />.::rh (] qL . <br />., CJ -3 d 1,/:2. 9.,- -&--f <br /> <br />PHONE <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <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 1. D .l~ <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ~Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____l~ of Uni ts <br /> <br />._l-1/H <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 Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL : <br /> <br />A TT ACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1-IS.'~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />_BUILDING <br />v-iLECTRICAL <br /> <br />Valuation of Total Construction <br /> <br />r>< Florida PO\"er Corp. <br />- <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />tiY~MP <br /> <br />$ <br /> <br />Service <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlH'lBIN"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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. Y <br />City License Registration # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />::::::::: Acl:~ u~~...m~:;~;;~~:m~~~~~~J,: ~:k a'Y- <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration J <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration # <br />********************************~****~**** <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />OTHER <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY *:jj!a:::::6*~*;~~;:'**'*'~************ <br /> <br />PER1-lIT OFFICER. <br />