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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT~;; ?'t(/~p( <br />ADDRESS.7ft. . r4 g/ C <br />OWNER Mr/;' ::!.~J S- <br />JOB LOCATION r"f-7. <,1" iffr: . <br />. 7 ?C>~ <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />-?i!// <br /> <br />PHONE <br /> <br />~/i/ ('/11 <br /> <br />aJ;);. 8/~T' SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. 4~ <br />WORK PROPOSED:____New Construction ____Addition ~Alteration ____Repair ____Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />____~fove <br /> <br />____Demolish <br /> <br />_commercial <br /> <br />_Indust. <br /> <br />.2.-4~ of Units .____~l/H <br /> <br />_Swim. Pool O/~ r.> Other <br /> <br />A 1. ~#~t/c- )i~A--t. C~ff cIoC',f'.f <br />pprova #c - <br />~~k~ /VirL - %~at . <br />Square Fa:t,' He~ght <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_Restaurant & Health Department <br /> <br />BUILDING SIZE: X <br /> <br />RESIDENTIAL: <br />COMl'tERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORNS.H <br />**COPY OF CONTRACT REQUIRED, <br /> <br />f-BUILDING <br />_ELECTRICAL <br /> <br />JlERMITS REQUESTED <br />~~~ Valuation of Total Construction <br /> <br />$ <br /> <br />AMP Service Florida POh'cr Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMBIN'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 />&- . & '/ / ~ONTRACTOR SECTION <br />nUl1.DER __,lfN / b./f.A Company <br />r~ ~ /' #-/.4 State Cert. or Regist, il <br />Signature / /t:"'~h~ City License ReGistration <br /><Z/ ' . 1e ** *** * 1e * * * ** ***** * * ** 1e ,', 1e 1,,~ 1e1e ,'e -I, ,', -I: ,': ,': ,': -I: 1: ,': ,', ,': * <br /> <br />(11(lC{~1 '1// <br />i.' Yl? <br /> <br />Sirmature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />E1.ECTR1C1AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration # <br />****************************************** <br /> <br />Pl.UMBER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />*************************************~**~* <br /> <br />MECHANICAl. <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />.oTHER <br /> <br />APPLICATION APPROVED BY <br /> <br />/ <br />...... ....4(.*..._*-...~* **~1:::-* * * * * * * *... J. * J, * J. J. J. J. .'. J_ J. J. _c .'. .'. J_ J. J. ,'- <br />.... .... ~1. ~ " ," . ... '],; 1'. 1. ,~ .... .. h .. .. .. .. .. ., .. .. .. <br />r C-.JJ" . <br />. ,-". <br />~ <br /> <br />PERl-lIT OFFICER. <br />