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<br />" <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />Jon LOCATION <br /> <br />~~ ~~~. ~ <br /> <br />=t:7~~~ -sv ~ <br />. .'. ~}....p\.~(\, <br />~~~\&4.~ ~ <br /> <br />S4 <br /> <br />M~Oh~ <br />,C\~. LOT' SIZE~X <br /> <br />PHONE <br /> <br />1.~"Lr- 0<O4:~ <br /> <br />APPLICANT <br /> <br />ADDRESS <br /> <br />OWNER <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D, t~ <br />WORK PROPOSED~New Construction ,____Addition ----Alteration ____Repair ____Install <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />____Sign/Temp. <br /> <br />____sign <br /> <br />_Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />, ____M/F <br /> <br />____t~ of Units <br /> <br />_____1-1/11 <br /> <br />____Commercial <br /> <br />~Indust. <br /> <br />____Swim.. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br />BUILDING ~IZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COHl'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 FORl-IS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />,~RMTTS REOUESTED <br /> <br />____BUILDING <br /> <br /> <br />~--. <br /> <br />-~ <br /> <br />Valuation of Total Constl'uction <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 />_PLUMBIN'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 ~ECTI0N <br />Company cz:;~ ~~ ~ \..)V'- <br />State Cert. or Rcgist. !F__ ~~~~~ ~ <br />City License Registration ~' .-U . <br />****************************************** <br /> <br /> <br />ET.F.CTRTCT AN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />::;i!mature <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. Q <br />City License Registration ~ <br />****************************************** <br /> <br />PUlMRER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />********************~~~k********~********* <br /> <br />MECHANTCAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or"Regist. U_ <br />City License Registration 0 <br /> <br />PTHER <br /> <br />APPLICATION APPROVED BY. .........~:::.*~;V_..:d'*"".!'*"*..*" PERl'llT OFFICER. <br /> <br />, . <br />