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<br />'. ~ <br /> <br />APPLICATION FOR PERMIT <br />CITY OFZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT <br />...:;<B8'~/ P <br />ADDRESS .:i 5?J3c2 <br /> <br /> <br />~ <br />PHONE . 7.?c;2 - ~ /~3 <br /> <br />OWNER <br /> <br />H-e I -4...eS <br /> <br />~ AIr;~ <br />;tQ~4AJ~ /lye <br /> <br />, . <br /> <br />.?-~ILLOT SIZE_X <br /> <br />AREA SQ. FT. <br /> <br />JOB LOCATION ..iI~3;? <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D. ~~ <br /> <br />/;/- dl~ - r,ill- t:'lt:Jd?D'- CJ/?/otJ - 09.20 <br /> <br />WORK PROPOSED:_New Construction _Addition -2L-Alteration --X-Repair ____Install <br /> ____Sign/Temp. ____Sign _t'love ____Demolish <br />PROPOSED USE: _Single Family _M/F -~~ of Units .____11 / H <br /> ____Commercial ____Indust. _Swim. Pool Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: <br /> <br />x <br /> <br />Square Pee t, <br /> <br />Height <br /> <br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDLNG PLANS & (1) SET ENERGY FORMS.** <br />CO!11'lERCIAL: ATTACH (3) SETS OF BUILDING PLANS & 0) SET ENERGY FORl'IS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REQUESTED <br /> <br />____BUILDING <br />~ELECTRICAL <br />-LMECHANICAL <br /> <br />$ <br /> <br />Valuation of Total Construction <br /> <br />AMP Service <br /> <br />Florida Power Corp. <br /> <br />"l.R.E.C. <br /> <br />$ <br /> <br />cfJ.I.5::Z <br /> <br />e <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBIN"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 # <br />****************************************** <br /> <br />BUILDER <br /> <br />Signature <br /> <br />ET.ECTRTCTAN ~ ~\';;)~~,~...~ Company '2.-~,"\...'-.S ~"...~. <br />~~.r;>q State Cert. or Regist. 11 c;)OO-:l.\Co:.~ <br />Si!!nature "' ~ ~<.. ./:lIt City License Registration il \.U <br />,**************************************** <br /> <br />***************************************~** <br /> <br />Compap.y <br />State Cert. or Regist. # <br />City License Registration !I <br /> <br />PLUMBER <br /> <br />Signature <br /> <br />Signature <br /> <br /> <br />Company' Le/"#Y.;e "';et: <br />State Ce:r.t. or Regist. i.! J?A-CJtJ~lJtPZO <br />. City License Registration ;! Fi' <br /> <br />Company <br />State Cert. or Regist. !I <br />City License Registration 0 <br /> <br />OTHEB <br /> <br />Sigaature <br /> <br />APPLICATION APPROVED BY. *t27.~*;***~*A(*r;*~*************** PERl'IIT OFFICER. <br /> <br />, ~ <br />