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<br />.. <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />OWNER <br /> <br />h~#;y;e ~,;f'e <br />5ij.:l'/ /d. r~ JT <br /> <br />8ess/e 2/p.sA"eY <br />/ <br />JOn LOCATION ~~~tr <br /> <br />7P////R~//s /2 <br /> <br />PHONE <br /> <br />7?i" c;,8S-'/ <br /> <br />APPLICANT' <br />,d;VO fl.. <br />ADDRESS <br /> <br />LOT SIZE <br /> <br />x <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I. D . t~ <br /> <br />WORK PROPOSED:_New Construction _Addition -^lteration _Repair _Install <br /> _Sign/Temp, _Sign _t-::ove _Demolish <br />PROPOSED USE: _Sing~e Family _M/F _4~ of Units __H/lI <br /> _Commercial ~Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING $IZE: <br /> <br />x <br /> <br />Square Fee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'IS. ,~* <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br /> <br />$ <br /> <br />co,. <br />oP..:?t9/ - <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 />'7:2 0' <br />cx.;;/()/ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLlJMB I N'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 />CONTRACTOR SECTION <br />Company <br />State Cert. or Regist. 0 <br />City License Registration n <br /> <br />* .*::: 7...... :::::::... *. * ,,,;,;,,,;,;,,,;,,,;,, <br /> <br />State Cert. or Regist. ff <br />City License Registration # <br />****** ************* * * ** ** ,~*,~ 1: -I: 1: ,~,~ ,':1: 1: -I: ,': <br /> <br />BUILDER <br /> <br />Signature <br /> <br /> <br />I-~ <br /> <br />Company <br />State Cert. or Regist. g <br />City License Registration # <br />****************************************** <br /> <br />PLUHRER <br /> <br />Signature <br /> <br />MECHANICAL ,zep//y~ ~~e Company U/#"y"e ~~.& <br />~'/ / ~~ State Cert, or Regist. i.! <br />Signature/// ~ / ' City License Registration iF <br />6'0 ** *-1:0{: * ****** ****** -!:i: * * ,;', 1r -Ie ..': i. 1: -.':...~ of: * ,,!;...~ '1, -!: ....: 1: <br /> <br />K 4 &J~ 6CJ tf;,;;' ZJ <br />l?!? <br /> <br />Company <br />State Cert, or Regist, i; <br />City License Registration 0 <br /> <br />~ ~"'? . <br />... *** H**;I)-rJ *...* ** **...t:!!j*"J.J.,'.J;1:.y;).'..'.J.J.J.... <br />n ~." '.'~~~;;~;k"""""" <br /> <br />~ '-...., <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />PERl-lIT OFFICER. <br />