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<br />-,\" <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />~ rm I~V\ ~ ' T ~ c , <br />~ / <br />(0 c:r I :J Q S S ... \A.'\ ~.V\ e. t< <s Clot <br /> <br />fJr>..r b", .r", .../ r;... '-/ VI ~~. PERSONAL <br />/ <br />530 7 reo '^.:3 EV' ,,, e.. . D p <br /> <br />PHONE <br /> <br />~'3"g- :3 '3rtf <br /> <br />C;'" 5 <br /> <br />ADDRESS <br />OWNER --.Q" <br />Jon LOCATION <br /> <br />RF.PRF.~:::ln.j'rATTV:E" for thp p!':r.<lh:> of <br />. Judy Jayne Molter <br />LOT SIZE_____X AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOTeS) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.t! <br /> <br />WORK PROPOSED:____New Construction ____Addition ____Alteration _____Repair ____Install <br /> <br />_Sign/Temp, <br /> <br />_Sign <br /> <br />____}Iove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />_M/F <br /> <br />____t! of Units <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 Peet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />CO~fr1ERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />A TT ACH (3) SETS OF BUILDING PLANS & (1) SET EN ERGY fOR~IS.,~-I: <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMITS REQUESTED <br /> <br />____BUILDING <br /> <br />$ <br /> <br />/) <691' <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 />$ <br /> <br />____PLlJNB U.[G <br /> <br />GAS <br /> <br />Valuation of <br />.., ~/ ROOFING <br /> <br />Mechanical Installation <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 />~ ~ CONTRACTOR SECTION <br />BUILDER L:?""f- --5 ' ~~/J//;l.(;. Company <br />AI1.-/- /1. J / A State Cert. or Regis t. t! <br />Signature //nrtJ.~C~)(:).n~. City License Registration <br />****************************************** <br /> <br />/'~~ ~;;~~):: <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Sirm;:tture <br /> <br />pr.mmER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />HECHANTCAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Rcgist. 0 <br />,City License Registration ~~ <br />****************************************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or-Regist. 0 <br />City License Registration ~ <br /> <br />. ( ~'.i;"~,,""imisz;;; "*Y' ",d <br />.._..~ Y ,~ <br /> <br />APPLICATION APPROVED BY <br /> <br />PERNIT OFFICER. <br />