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<br />i . <br /> <br />APPLICATION FOR PERMIT <br />CITY OPZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />f <br /> <br />ADDRESS <br /> <br />. .,: .a~~ <br />?f?~~r~ <br />OWNER ~ ~ ---~-- <br />JOB LOCATION, J ~ - - - ~~' SIZE <br />LEGAL DE6~PTION: LOT(S) BLOCK SUBDIVISION <br /> <br />PHONE <br /> <br />;VI? <br /> <br />APPLICANT <br /> <br />}{ <br /> <br />AREA SQ. FT. <br /> <br />PARCEL I.D.4t ~ <br />WORK PROPOSED,~ew Construction ----Addition ----Alterat~~{l'~stall V <br /> <br /> _Sign/Temp. _Sign _Move' _Demolish <br />PROPOSED USE: _Single Family ~/F _tt of Units .-M/H <br /> . <br /> _Commercial _Indus t. _swim. Pool Other <br /> _Restaurant & Health Department Approval <br />BUILDING SIZE: X Square Feet, 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 FORMS. ** <br /> **COPY OF CONTRACT REQUJRED. <br /> <br />_BUILDING <br />~LECTRICAL <br />~CHANICAL <br /> <br />$~~r?f ~-G <br />~I <br /> <br />Valuation of Total Construction <br /> <br />---. <br /> <br />rJ f fl_"V--, <br />-'(j'~ <br /> <br />:rRRMIT!=i REOUESTED <br /> <br />AMP Service <br /> <br />Florida power Corp. <br /> <br />W.R.E.C. <br /> <br />$ ::;2./ 1~ I ~ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBDfG <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: _Block _Frame _Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />Signature <br /> <br />****************************************** <br />CONTRACTOR ~ECTION <br />Company <br />State Cert. or Regist. # <br />City License Registration # <br />************************** ************** <br /> <br />B.JJI LD ER <br /> <br />:::::::~"-4 inry.,4 City License egistration II <br /> <br />- .. .......................................... <br /> <br /> <br />PLUMBER Company <br />I State Cert. or Regist. # <br />Signature city License Registration ~t <br />****************************************** <br /> <br />Compan - 0___ -$~f?-f1.~ 'Hj'?J <br />State ~~Tc; Regist. tt ~ 00 If/' JfC) <br />signatur _ City License Registration Ii -:;z <br />****************************************** <br /> <br /> <br /> <br />OTHER Company <br />State Cert. or Regist. # <br />Signature City License Registration ~t <br />/'") /l <br />* * ,**", * <br />APPLICATION APPROVED BY PERMIT OFFICER. <br /> <br /> <br />.. <br />