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<br />APPLICATION FOR PERMIT <br />CITY OFZEl'HYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />f)rJ7j ~~L <br />? ,=f Jr.' if~,s~/I/" ,DR <br />OWNER '. C r' f) . <br />Jon LOCATIo(Pllt/Y-7 [;JlVEI17 <br /> <br />Co_ <br /> <br />APPLICANT <br /> <br />PHONE <br /> <br />7f5~- <br /> <br />/,7: ? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />C!;:lY5 DtFf. LOT sIzP)..1L;/ xll! AREA SQ.FT. <br />BLOCK SUBDIVISION _C;)LVf'/f o-Rk-S <br /> <br /><....Z::- <br /> <br />PARCEL I.D.1~ ,'3- t2~ -PI - /~-O~J- <br />WORK PROPOSED:~New co~stru~tion ____Addition ____Alteration ____Repair ____Install <br />____Sign/Temp. _Sign _~love ____Demolish <br /> <br />____Commercial <br /> <br />~Indust. <br /> <br />____1~ of Uni ts <br />+swim. Pool <br /> <br />._~l/ll <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval . <br /> <br />BUILDING SIZE: <br /> <br />It <br /> <br />x ".3~, <br /> <br />lj ~() <br /> <br />Square Fee t, <br /> <br />3 <br /> <br />I <br />-- t <br /> <br />D~EP <br />Uq~glo-':: <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COm1ERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOlUlS. ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PERMTTS REQUESTED <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />X Florida PO\ver Corp. <br />. <br /> <br />_H.R.E.C. <br /> <br />-t-BUILDING <br />-i-ELECTRICAL <br />_MECHANICAL <br />-t-pLlJ1-mI N'G <br />TYPE OF CONSTRUCTION: _Block <br /> <br />$ <br /> <br />'7;tJ(ltl, tJO <br /> <br />$ <br /> <br />Va~uation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />_Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br />n 'D /' _ CONTRACTOR SECTION <br />BUTLDER ;-ftfJ/' S CD!. () 1. ~ Company..... "; <br />/1-1 (J/ f' State Cert. or Regist. if "f-LO't'j~<-j7 <br />5 i gna Cure ( A4~,/1 -tJ:; ~ City Licens e Rc r. is t ra t inn i! ) ;:J, <br />****************************************** <br />--- <br />ELECTRTCIAN Company /.--- ~ C._ <br />:- ) //) .-/ State Cert. or f\cgist. Ii 1..::/?G1t:1cJ/7c4~~ <br />i(:'n:3tur~,~4..u...ati9t.) '7 -<..t:. City License I\egistration I,! J ~) <br />* 1, * * * * * * * * * * * * * * * -% * * * * * * ,~ * * * * ,~ * ,~ -I: " .:: " ,~ " -I: -I: -I: " <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration J <br />****************************************** <br /> <br />PLmmER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration ~ <br />****************************************** <br /> <br />~IECHANICAI" <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. orf\cgist. ~ <br />City License Registration 0 <br /> <br />APPLICATION APPROVED BY. <br /> <br />...~* :m'" ** * * * ** *", * * *... J. * J, * J. J. J. J. .'.". -'- J. _c .'. -'. -'. J_ J. .'. <br />.~ ~. ." ~ .-:.. ., . "" ". .... .. ,. .. .. ., .. .. n n ., .. ., .. <br /> <br /> <br />- ~ <br /> <br />PERHIT OFFICER. <br />