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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />2' ~ ~ /I)I...e ~i? e / 78/'1- hr/A/ <br />, , <br /> <br />ADDRESS J{jg~1 2J S.R E~E' ft-.P'//7'L~LL;s <br />OWNER L'H/he~/4le /!.J.6DH- <br />JOB LOCATION 39tJtR$ &~2)/,I1/-4/.4Yr!' z:././ LOT SIZE_X <br /> <br />~N'A/~Y <br /> <br />, <br /> <br />",cL- PHONE <br /> <br />?tY.Y-&2t!'~ <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />_Sign/Temp. <br />PROPOSED USE: ~Single Family <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />_H/F <br /> <br />_t~ of Units <br /> <br />__l'l/H <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 Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COilltERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORHS. H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />1//8 <br /> <br />"f) <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br />A-MECHANICAL <br /> <br />AMP Service <br />1118~ <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PUJMBIN"G <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. if <br />City License Registration ~ <br />****************************************** <br /> <br /> <br />BUILDER <br /> <br />Si!!nature <br /> <br />;: <br />(, <br />I <br /> <br />Company 7ep,l/y/Z,i,L./.s <br />_/----;-;~y/' State Cert. or Regist. Ii <br />i.-"':;' , . City License Registration Ii <br />// * f,* ** ***f'*************** ** * **,~ *,~~: 'I: '1:,~,~ ,',~, 1,,/: 'I: <br /> <br />E/ee~c k,.f'JI'/~e <br />t:)t/ 0.;1/ 6,f) <br />/t) <br /> <br />ELECTRTCTAN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />pLUMBER <br /> <br /> <br />Company #,d #;/.t: ~,.e e <br />State Cert. or Regis t. I.~ /'1/1- t!J&~LJ &,;10 <br />. City License Regis tration !; !?% <br />***********************~****~**** <br /> <br />signatu're <br /> <br />I!II!iiiiiiiiii ~ 7./ <br />Company "AI u ~ . I <br /> <br />State Cert. or Regist. n <br /> <br />City License Registration 0 <br /> <br />QIHER <br /> <br />APPLICATION APPROVED BY. ~;::~:~';r;=""**'~**''''{'****'''* PERlIIT OFFICER. <br />