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<br />r- <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />50l.L --+ h e l,u <br />ADDRESS b' (; ( G.e.) /?(}E .$ I, Q L 1ARloAJ <br />OWNER DAN; f> I gCA.~6\eS 5 <br />JOB LOCATION 3:55"Lj9 t:lf. ,ilt/E-- <br /> <br />FEN C ;'10 6 <br /> <br />APPLICANT <br /> <br />, . rc-/1- 3 'I" ~I ~ <br />~'SP'/ZIIUy.5PHONE .9'3 C/- 9 S- 2.:Y <br />/ t/ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />~~ <br /> <br />~/ . <br />----WORK PROPOSED:____New Construction _Addition ----Alteration ____Repair <br /> <br />\./ e,L. ,c6ucE <br />-1...Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____t-Iove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_t~ of lTni ts <br /> <br />._~l/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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMl-1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY fORl-IS. ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />..___J <br />PERMITS REQUESTED <br /> <br />L/'i3'UILDING <br /> <br />$ <br /> <br />!; 75/' ().sJ- <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN'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 />Signature <br /> <br />b' ~ CONTRACTOR SECTION <br />1\ /' (/( --.) C Ii gJ 5 cAJ Company ~C:; 6 C( T H -e r Iv' <br /> <br />~ /J} () State Cert. or Regist. if <br />lv~1:. rt'Vvv:>-<JV'- City License Regi~ tra tion <br />. 'I, ** *** * 'I, ** * **** ** ** * ** -{, 1: 1, -{:,~ -{, -{,,, 1, ,',,,,,,,,,,,;: '.:"" * <br /> <br />~ \ <br />f-E/lJ c1AJ6\ <br />iF 5PlcIAL IV ::iI ~c; I <br />/ <br /> <br />BUILDER <br /> <br />ELECTRICTAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />********************************~~**~*~**~ <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />MECHANICAl. <br /> <br />Company <br /> <br />State Cert. or Regist. iF <br />.City License Registration # <br />********************************~********* <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY( *ff!;J!)!;;*r*:;j~::~h:;;Of~~*"d,*1'1"': <br />~- ~ <br /> <br />PERl-lIT OFFICER. <br />