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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT IIc~. IlL 11M. <br />ADDRESS JR"Stfr PI}J.r1 @tJi/,t!L)2. Z-IJI/...L.S HIl. PHONE 7J2'-~6/1- <br />". ' <br /> <br />OWNER II 1IWL-.IJ fYl6A~~ .,' , . <br />Jon LOCATI~~ 1 .storr I.IIIAllltVl>/UfJ. /AlflYUlA~~ W/II!,or :t~OT SIZE r/' X /~/) I AREA SQ. FT. 8 ?~ <br />. ' <br /> <br />LEGAL DESCRIPTION: LOT (S) 11 BLOCK 2t:. SUBDIVISION :2/ <br />PARCEL 1. D. ~~ 1J/6tJ -tJPllat)~ ZJt17P <br />WORK PROPOSED:~ew Co~st~uction <br /> <br />'_Addition <br /> <br />-^lteration <br /> <br />_Repair <br /> <br />_Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_~Iove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />--=-M/F <br /> <br />_~~ of Uni ts <br /> <br />__HI II <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 Peet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COl11'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 POR~IS.'~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />./ BUILDING <br /> <br />PERMITS REQUESTED <br />7:1 ~ ) ,DO ' Valuation of Total Construction <br /> <br />$ <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 />Valuation of Mechanical Installation <br /> <br />_PL'U1'mHtG GAS <br /> <br />ROOFING <br />~Frame _Steel <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block <br /> <br />flL.fA fYI, Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />;!.IJY fl/J/f/IEI- (' <br />tl~ L-:- <br /> <br />, <br /> <br />CONTRACTOR SECTION /1/ ,J <br />Company !?1~~./7~/~. <br />State Cert, or Hegis t, i! C.~C6 ~?1/6tf'O <br />City License Registration i,~ /bt!J <br />****************************************** <br /> <br />nUTLDER <br /> <br />Si!:'nature <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration U <br />****************************************** <br /> <br />El.ECTRTCTAN <br /> <br />Company <br />State Cert. or Regist. ~ <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />. <br /> <br />Company <br />State Cert, or Regist. Ii <br />.City License Registration !} <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 />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br /> <br />PERHIT OFFICER. <br />