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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING D~PARTMENT <br /> <br />APPLICANT ~I rt;' f'O>fst"'l/.~'" <br />ADDRESS ;;~' 7tLD3', bJe ~ J/- <br />OWNER 7 I- co /JIlLc~ ' R JetL <br />705"0 tdl t3/v/. ~ :z1dL <br /> <br />PHONE <br /> <br />7~7-3~S(- <br /> <br />JOB LOCATION <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 I.D.f~ <br /> <br />~ f:~I-ILA4<.v <br />WORK PROPOSED:____New Construction____Addition ~Alteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />_Commercial <br /> <br />~Indust, <br /> <br />_swim. Pool <br /> <br />_HIll <br /> <br />&,,6/f~L Other <br />/I&~/' . <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_fl of Units <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COl-U'tERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS.** <br />ATTACH (3) SETS OF Blf1LDING PLANS & (1) SET ENERGY fORt-IS. ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />.PERM1TS REQUESTED <br /> <br />_BUILDING <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 />Va~uation of Mechanical Installation <br /> <br />_PLUMBIN"G <br /> <br />GAS <br /> <br />ROOFING <br />"R.,.",,,,,p ~epl <br />-'" -_...... -- - - <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: <br /> <br />____Block <br /> <br />_-.-----~_Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT, <br /> <br />****************************************** <br /> <br /> <br /> <br />CONTRACTOR <br />Company <br />State Cert. 0 gist. <br />Signature City License Registration <br /> <br />F.TECTRTCTAN'- )~~~:~.....**...:::::::*~"~~~~ . AV6-~cj)Jc <br /> <br />r2/ /J~ ~_' . State Cert. or Reo s t, "'"-- OO~~ rl. <br />of .Mt"r. .x;;r~#,. ~ .. City License ReGis trntion" '. . <br />*1dr'" * ** ** *.**** ** ** *** * * *,~ * * **,~ of;,~ i: {: 1: ,',,~ ,': i, .:, 1:;: <br /> <br />~I,IJMnCR . Company ~"..".,........./ ~~ /~- - <br />... /~ '. State Cert. or Regist. !.! ~p:c oz.6r65 <br />Signa.ture ~ - c.- City License Registration if <br />. * * * * ** ** **** ***** * * ****1' 1,>~ 1,* O{,1, i, 1: .:, ,', ,', ,', * 1, i,,~ ,', <br /> <br />MCCjjANTCA1. Company /~""~/ ~ /)(/~. <br />~c- _. /h State Cert, or ReGist, I' -:H~ e2DA /..;!/ <br /> <br />Signature. - ~~*~******~~;~*~~~~~~~"'~~~~~;~:~;~~~ " <br /> <br />- <br /> <br />Signature <br /> <br />Compa.ny <br />State Cert. or'Regist. 0 <br />City License Registration 0 <br /> <br />D-1HER <br /> <br />APPLICATION APPROVED BY. <br /> <br /> <br />PEm-lIT OFFICER. <br /> <br />/ <br />