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<br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />ADDRESS <br /> <br />~z,J/V <br /> <br />hAlIl/~~ <br />I't. vA . . d r. <br /> <br />jJfl~C \) <br /> <br />F E~(!' E:/ <br /> <br />C'. v' <br /> <br />APPLICANT I<fJrl/ <br /> <br />PHONE <br /> <br />7tf>crJJ/(Y z. <br /> <br />OWNER kA~e.;J tJ /' (,/0 ,.../ <br />JOB LOCATION 72<;1-3 /18#(;,.4.-..1 ~ <br /> <br />BLOCK <br /> <br />LOT SIZE_X AREA SQ. FT. <br />SUBDIVIS ION /I c..j'J/I.,q (/ , //0. ? e <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />PARCEL I.D.j~ ss--~~-:lj - oC;;~-O.... 00000 -Oc:L90 <br />WORK PROPOSED:_New Construction _Addition -^lteration _Repair X-Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_~love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />_j~ of Units <br /> <br />__I'I!H <br /> <br />_Commercial <br /> <br />~Indust. <br /> <br />_Swim. Pool <br /> <br />FE:~c..c <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Feet, <br /> <br />Height <br /> <br />RESIDENTIAL: <br />COM!'1ERCIAL : <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 fORHS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />Ef,RMITS REOUESTED <br /> <br />ABUILDING <br /> <br />$ .$'..33.00 <br /> <br />Valuation of Total Construction <br /> <br />_ELECTRICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_H.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLtJMBIN'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 />BUTLDER - J. -, ;j <br />Signaturp.~ ~ <br /> <br />CONTRACTOR SECTION <br />Company fJ A JC 0 FerJ e 6! c.. 0 <br />State Cert. or Regist. if <br />City License ReGistration Ii 191- .'{,o~/"(!- <br />****************************************** <br /> <br />Si!!nature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br />****************************************** <br /> <br />F.l .F.CTRT C1 AN <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration 0 <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signa~e <br /> <br />Company <br />State Cert. or Regist. r <br />,City License Registration 0 <br />****************************************** <br /> <br />MECHAN1CAl. <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 0 <br /> <br />****************************************** <br /> <br />PEllinT OFFICER. <br /> <br />APPLICATION APPROVED BY <br />