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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APpLICANT ~"t'~ {'E>t~;'. . <br />ADDRESS ~/.~ 1~~~/:j 'i. U. <br />OWNER ~/t"S- ~ w eL ' ~iu <br />JOB LOCATION "/0;'0 ~l/"" dU. --2-tLt!s <br /> <br />PHONE 5t l-7~.l7' <br /> <br />~ <br /> <br />LOT SIZE <br /> <br />X AREA SQ,FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOGK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~j <br />~ " t(./.:J.'k. <br />WORK PROPOSED:____New Construction '~~ddition ----Alteration ____Repair ____Install <br /> <br /> _Sign/Temp. _Sign ____t'love _Demolish <br />PROPOSED USE: _Single Family _M/F --'-" ~, of Units ._~l/ll <br /> _Commercial ~Indust. _Swim. Pool ~f)/~~ Other <br /> , <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 />COHl-IERCIAL : <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 fORt'IS. H: <br />**COpy OF CONTRACT REQUIRED. <br /> <br />}'ERMTTS REOllESTED <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 />_PLmmIN'G <br /> <br />$ <br /> <br />Va~uation of Mechanical Installation <br /> <br />GAS <br />/Block <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />'[YPE OF CONSTRUCTION: <br /> <br />_Frame------s te el <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. 0 ,egist, <br />City License R_~ . on <br />** ** *, ,,********** * * ** 1, ,': 1<1:'~ 1, 1. 1,~, ,', >" -:: -:,~: >" ,,~'" * <br /> <br /> <br />Signature <br /> <br />. , Company ~//tt:'e/"v'/ """~ /#~ <br />z::.... ~ '. State Cert. or Regist. " .::./"2:! '" ,:; .-,:;;,r <br />~ City License Registration !; <br />, * ~*************************************** <br /> <br />Company <br />State Cert. or Regis ~ 0 <br />City License Registration 0 <br />****************************************** <br /> <br /> <br />Av C~ ELt"::u1'UC. <br />JJJC <br /> <br />PUTMRF.R <br /> <br />Signature <br /> <br />. Company ~//4!?e/#/ .A'~,# /,A./~' <br />~~ _' State Cert. or R"oist. i~ ~,N~ e><'$1/..;'/ <br />. . C~ty L~cense Reglstrat~on 'r <br />...* '* * J~ J.* _ * _ oAo .... ..... ..... .;.. ~ * ...;:.. .;.. ;.:,. ~'!,. J. ~_ ./.. ~'. ..', J, -', .I~ .'. J. ot, ..I.. ..l- ..1.. ,J~ .'. J. J. .'. ,). <br />^ '1. '1. " ^ ... ^ ", '" ^" .....,.......,.... roo ^ ^. 11 " .. .. .. .. " .. .. .. .. .. .. .' .. <br /> <br />MECHAN1CAL <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY "~~~:'~*(*:'f'~~~~~*'*'*' <br /> <br />Company <br />State Cert. or"Regist. 0 <br />City License Registration iF <br /> <br />QTHER . <br /> <br />PERi'lIT OFFICER, <br />