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<br />'''''',- <br />APPLXCATION FOR PERMIT <br />CITY OPZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />;leE l1'-tlM' <br />ADDRESS -.f~ys- r/}LJ'YJG-,Q{)J~. 'lJtR, <br />J!AMLtJ /'It)HrcS'',';: <br />, "" 2-)l/1..":S' , <br />Jon LOCATION,.(t?7 ~ JRIf/7 J.. Ed,tf/iJlj:};~'''f)(C.. 10;9, LOT SIZEs:? x ~O AREA SQ, FT, /.?'6 <br /> <br />LEGAL DESCRIPTION: LOT(S) /1/, BLOCK db SUBDIVISION <br />/4-,~1r ~ " <br />PARCEL 1. D. {f~ -~/c,c - ,.ItJ{)t1tJ - #S'I'C? <br /> <br />.",.--- " , " ' <br />WORK PROPOSED:____New Construction \~Addition ----Alteration _Repair ____Install <br /> <br />'f; ~ J'~~ ,~,t , ' <br /> <br />APPLICANT <br /> <br />: ;1" ,\:"., " , <br /> <br />PHONE <br /> <br />1~-J ~ d..b / ~ <br /> <br />, <br /> <br />OWNER <br /> <br />'-1; <br />.,( <br /> <br />L'I <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 />____i~ of Uni ts <br /> <br />._N/II <br /> <br />____Commercial <br /> <br />.' ~Indlts t. <br /> <br />_Swim, Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: <br /> <br />x <br /> <br />\ <br />Sq\'are Fce t, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />CO~frIERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FOIUtS. ** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY rORHS,** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />,PERMITS REQUESTED <br /> <br />~ BUILDING <br /> <br />$ <br /> <br />'if) ~tJ.Otl <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 />____PLut-m ufG <br /> <br />.... <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 />Signature <br /> <br />****************************************** <br /> <br />~~~. CONTRACTOR SECTION /7 /7/ d/}1, <br />~ ~ Company /;;~ t'L~:..:.<.- <br />, ... State. Cert. or Regist. U C;eC() dVb?~ <br />-- -- - ___ - - City License Rer.istration I! /t..O <br />****************************************** <br /> <br />BlJIT,DF.R <br /> <br />ELECTRTCTAN <br /> <br />Company <br />State Cert. or Regist, 0 <br />City License Registration D <br />****************************************** <br /> <br />Sif'Qature <br /> <br />Company <br />State Cert. or Regist. lj <br />City License Registration U <br />****************************************** <br /> <br />PLlJMRF.R <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, 0 <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 />~*... * ~***** ** ***.LJ.*J.**J.J.J....J.J..r.~.',...J.J.J,.', <br />,.. ~ ^ 1'1. ...... 1. .. 1. .. .. .. ., .. .. .. .. .. <br /> <br />~ <br /> <br />PER~IIT OFFICER, <br />