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<br />APPLICATICIN FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br /> <br />APPLICANT .IVI ~ a~~ I j . (?oN"+- a ~( <br />ADDRESS t. '.# 1 ~..~ c~,L . _ tJ~. ;l~7 ti/.~~lONE q. 7'3 - 19 77 <br />OWNER -JAck J. JjJcht t\1<e~J(~,~j , L <br />~ . G. 'lit till.;~" 0"""" ':J ~ SilO d <br />JOB LOCATION $-;}C, ~ l ~ ' ,0. T LOT SIZE ~::) x (20 AREA SQ. FT. ..L? <br /> <br />'.. <br /> <br />LEGAL DESCRIPTION: LOT(S) 101 BLOCK <br />PARCEL I.D.l~ 3 - 2<:. -zl -1"/ - 0 - L07 <br />WORK PROPOSED:____New Construction -1C-Addition ----Alteration ____Repair ____Install <br /> <br />SUBDIVISION <br /> <br />____Sign/Temp. <br /> <br />_Sign <br /> <br />_Hove <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single f'amily <br /> <br />_M./F <br /> <br />_if of Uni ts <br /> <br />~_M/!-I <br /> <br />_Commercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR1'lS, ,~* <br />**COPY OF CONTRACT REQUIRED, <br /> <br />PRRMITS REQUESTED <br /> <br />/" <br />_BUILDING <br />V ELECTRICAL <br />V/~ECHANICAL <br /> <br />$ <br /> <br />cp n77J . Ci77 <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />____PLUMBI!{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 />Signature <br /> <br />CONTRACTOR IL <br />C 6,.(...1~ <br />~ ompany <br />Y1_y ~I State Cert. or Regist. iF <br />",r~ City License Registration <br />****************************************** <br /> <br />****************************************** <br /> <br /> <br />Co ftc <br />./ <br /> <br />BUILDER <br /> <br />::::::::lmj~J l({~ <br /> <br />Company III Q. t ~Ct '1 i) t=='~ e (' 111 L <br />~ State Cert. or Regist. iF ()(~I;)':~ <br />,l '~;I'{\Q"'--- City License Registration iF, leI'S <br />******~********************************** <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist. a <br />City License Registration # <br />****************************************** <br /> <br />PLUMBER <br /> <br />MECHANICAl, <br />Signature~ <br /> <br />Company Q... \t.~ ~\."<'" ~,,~'- ~":n:", '<"C\,. <br />r)/J " /\.,_._ ,<. n StateCert. or Regist. 1.!('_r1 U)5~iL/9 <br />~~ ~jtv License Registration # <br />***********************~****************** <br /> <br />OTHER <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration # <br /> <br />A2PLICATION APPROVED BY <br /> <br /> <br />PERMIT OFFICER. <br />