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<br />APPLICATION FOR PERMIT. <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />?;- '-> o€- ri3.Qo~ eH?7 & <br />FL. ~35;:Zb . <br />ADDRESS /6 <7/ ;r 6.::~ /f/JU ,t..I"€ (i( J [JAVe e...'Y PHONE 5?c:>t:;-.:5-8>f:?-;l. 7$0 <br />U 0/7"# .;;r-d#,rv56.^/ ,14.....,0 <br />OWNER ~r'(N1!i.i"N' rXt: /NS"rI-r(.)-rf~ Vl'il/fO II, .:JOHNS.:>,.., /11, /), <br />..5'"1"7 /~ ._~- <br />fi/6.A7"H ;4//5' LOT SIZEdoo x /' AtEA SQ.FT./Do r02C <br /> <br />JOB LOCATION_ <br /> <br />LEGAL DESCRIPTION: LOT(S) <br />PARCEL 1. D. ~~ / 1.- ~'", - OJ I <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />WORK PROPOSED:____New Construction ~Addition ____Alteration ____Repair _Install <br /> <br />_Sign/Temp. <br /> <br />_Sign <br /> <br />_l'-love <br /> <br />_Demolish <br /> <br />PROPOSED USE: _Single Family <br /> <br />_M/F <br /> <br />-,--# of Units <br /> <br />._H/ll <br /> <br />-LCommercial <br /> <br />_Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />____Restaurant & Health Department Approval <br /> <br /> / " <br />BUILDING SIZE: ~6 X ~o , OJ?<so Square Feet, I .::P - /~ Height <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS. ** <br />COMMERCIAL : ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORl-IS . ** <br /> **COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />r-;UILDING <br />~ECTRICAL <br />.?---MECHANICAL <br />~LUMBnfG <br /> <br />56 <br />$ / / c> t:!!'EJ 0 -- Valuation of Total Construction <br />./ <br />,e'K to? T' AMP Service Florida Po\.Je l' Corp. <br /> <br />_H.R.E.C. <br /> <br />$5'Yr~,8<3 <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />z;.---' ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ~Block _Frame _Steel <br />FINISHED FLOOR ELEVATIONS:7>D.~FT. <br /> <br />Other <br /> <br />****************************************** <br /> <br />Signature <br /> <br />CONTRACTOR SECTION ~c ~ <br />Company ~() o:! B~6. s (",r-" HS'7 '-"- <br />StateCert. or Regist. !F-'3.....G-CSCO Vb~3 <br />8~ a ~ ..~ City License Registration;1 :3?-- <br />****************************************** <br /> <br />BUILDER <br /> <br />ET.ECTRIC1AN .;;JOliN i?'c.NIIRjlt;a;v Company .;[~rOy' R,c..ftlHAOJ:;..o,.., CLe..c.. <br />.I/~ I I State Cert. or Regis t. il 6 coo. 7/1 <br />Sip-nature ~___ f\.. <t-("~~ ~ City License Registration;1 .;( ~- <br />****************************************** <br /> <br />- <br /> <br />PLUMBER ,~o Co Plvw-b,y7. <br />Signature ()/ ~~ <br /> <br />. Company /J...C rt.. () /U,,9~)/G- ? . <br />State Cert. or Regis t. i! \ F () 0 j ? ,f'77 <br />Ci~y License Registration # <br />****************************************** <br /> <br />Signature <br /> <br />rr::t: V '-; it- Company <br />State Cert. or Regist. i.! f{ M. <br /> <br />~. City License Registration II <br />- . ....... ..... ...* ...*.......... * J. * * .', ,', J, J, .'. ,'. J. .'......... J... J. J. .'. J. <br />^ . . 'i[ ..... ^..... n n)1 .' .. .. .. .. .. .. ~. .. .. ,- .. .. " <br /> <br />~4./ f 5 <br />~cJ /'f/'" '7 ) <br /> <br />MECHANICAL <br /> <br />o6/~r61 <br />.t:t:J- <br /> <br />DIRER R~ Xi <br /> <br />Signature . '~ -&.s. <br /> <br />Company c- <I S I2~Jlf6 $~e, <br />State Cert. or Regis t. il 0.:2 7 <br />City License Registration 8 <br /> <br />**********************************~******* <br /> <br />APPLICATION APPROVED BY <br /> <br />PERtlIT OFFICER. <br />