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<br />jd" <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br /> <br />//1 s C 0 F&"JCf:? <br />4/L,J/C/ /L.(,)~ J 1- <br /> <br />PHONE <br /> <br />? P't>- .J~ y~ <br /> <br />ADDRESS <br /> <br />OWNER ~~ ~ ~ / ~dl S/ 0 ~..J B <br />Jon LOCATION (',.?5I/ /07'# s7., <br /> <br />c!J./ .4;;' (.., r.t""' r <br /> <br />.4?",C:.f 7Q~ <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />LEGAL DESCRIPTION: LOT(S) BLOCK SUBDIVISION <br />PARCEL I.D.t~/J -~6:., "~/,.,tJolo- o2~od" OOJC/ <br />WORK PROPOSED:____New Construction ____Addition ----Alteration ____Repair ~Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />____Hove <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br /> <br />____M/F <br /> <br />____t~ of Uni ts <br /> <br />.____~l/ H <br /> <br />____Commercial <br /> <br />____Indust. <br /> <br />____Swim. Pool <br /> <br />-':.= ~ r/ e.r <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: <br />COMl'tERCIAL : <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 FORl-lS.H <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />____BUILDING <br /> <br />$ /677 ro <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 />____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 />Signature <br /> <br />CONTRACTOR SECTI~ <br />Company ASc. 0 FE-";Ce ~ O. <br />State Cert. or Regist. 0 <br />City License ReGis tra tion!! /9? el"t:. ('. <br />****************************************** <br /> <br />BUILDER <br /> <br />ELECTRTCIAN <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration 1 <br />****************************************** <br /> <br />Si!mature <br /> <br />Company <br />State Cert. or Regist. 0 <br />City License Registration a <br />****************************************** <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Company <br />S~ate Cert. or Regist. 0 <br />City License Registration 0 <br />********************************~****~*~~* <br /> <br />MECHANICAL <br /> <br />Signature <br /> <br />Company <br />State Cert. or Regist, # <br />City License Registration 0 <br /> <br />OTHER <br /> <br />Signature <br /> <br />APPLICATION APPROVED BY <br /> <br />~~ **** ****~* ***** ~ J. * J,* J.J, J. J. .'. J. J. J. ~ .'. .'. J. J. J. .'. <br /> <br />. d</'(J 0./1 ~9- ' .' . <br /> <br />PERl-lIT OFFICER. <br />